How much rates vary
Facilitymedian $7,244 · 10th to 90th $1,995 to $25,704Professionalmedian $2,089 · 10th to 90th $1,259 to $3,236
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $2,884.03 Median $4,466.84 Typical High $7,762.47 | Facility | None | $2,884.03 | $4,466.84 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $3,235.94 Typical High $3,235.94 | Professional | None | $1,230.27 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $851.14 Median $2,290.87 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $851.14 | $2,290.87 | $2,290.87 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,265.80 Median $13,489.63 Typical High $30,902.95 | Facility | None | $4,265.80 | $13,489.63 | $30,902.95 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $2,238.72 | Professional | None | $1,862.09 | $2,137.96 | $2,238.72 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,288.25 Median $1,513.56 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,288.25 | $1,513.56 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $7,079.46 Median $7,943.28 Typical High $10,964.78 | Facility | None | $7,079.46 | $7,943.28 | $10,964.78 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,584.89 Typical High $1,862.09 | Professional | None | $1,348.96 | $1,584.89 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $954.99 Median $3,235.94 Typical High $5,495.41 | Facility | None | $954.99 | $3,235.94 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $3,235.94 | Professional | None | $1,548.82 | $2,089.30 | $3,235.94 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,071.52 Median $2,290.87 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $1,071.52 | $2,290.87 | $2,290.87 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,621.81 | $1,995.26 | $1,995.26 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,137.96 | Professional | None | $1,995.26 | $1,995.26 | $2,137.96 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $1,621.81 | $1,621.81 | $1,621.81 |
Regence BlueShield Setting Facility Modifier None Typical Low $17,378.01 Median $24,547.09 Typical High $33,884.42 | Facility | None | $17,378.01 | $24,547.09 | $33,884.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,290.87 | Professional | None | $1,905.46 | $2,238.72 | $2,290.87 |
Select Health Setting Facility Modifier None Typical Low $954.99 Median $977.24 Typical High $11,748.98 | Facility | None | $954.99 | $977.24 | $11,748.98 |
Select Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $2,089.30 | Professional | None | $954.99 | $954.99 | $2,089.30 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,818.38 Typical High $4,265.80 | Facility | None | $1,288.25 | $2,818.38 | $4,265.80 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,398.83 | Professional | None | $1,202.26 | $1,548.82 | $2,398.83 |
13 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,659.59 Median $1,949.84 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,659.59 | $1,949.84 | $2,041.74 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $186.21 Median $213.80 Typical High $223.87 | Professional | 55 · Aftercare only | $186.21 | $213.80 | $223.87 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,348.96 Typical High $1,412.54 | Professional | 62 · Two surgeons | $1,174.90 | $1,348.96 | $1,412.54 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,238.72 Median $2,570.40 Typical High $2,691.53 | Professional | 63 · Small infant | $2,238.72 | $2,570.40 | $2,691.53 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $346.74 Typical High $363.08 | Professional | 80 · Assistant surgeon | $295.12 | $346.74 | $363.08 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $295.12 Median $346.74 Typical High $363.08 | Professional | 81 · Minimal assistant surgeon | $295.12 | $346.74 | $363.08 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $295.12 Median $346.74 Typical High $363.08 | Professional | 82 · Assistant surgeon, no resident | $295.12 | $346.74 | $363.08 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $251.19 Median $295.12 Typical High $309.03 | Professional | AS · PA/NP assist | $251.19 | $295.12 | $309.03 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 22 · Increased work | $2,344.23 | $2,344.23 | $2,344.23 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 54 · Surgery only | $1,513.56 | $1,513.56 | $1,513.56 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $213.80 | $213.80 | $213.80 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 62 · Two surgeons | $1,348.96 | $1,348.96 | $1,348.96 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 63 · Small infant | $2,344.23 | $2,344.23 | $2,344.23 |
Where Idaho sits
The same service costs 6.5 times more in Alaska than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
AK $17,292WV $2,643
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.