How much rates vary
Facilitymedian $1,380 · 10th to 90th $550 to $4,786Professionalmedian $631 · 10th to 90th $363 to $955
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 $1,412.54 Median $4,466.84 Typical High $7,079.46 | Facility | None | $1,412.54 | $4,466.84 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $954.99 Typical High $954.99 | Professional | None | $354.81 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $251.19 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $251.19 | $660.69 | $660.69 |
BCBS Idaho Setting Facility Modifier None Typical Low $537.03 Median $1,380.38 Typical High $4,786.30 | Facility | None | $537.03 | $1,380.38 | $4,786.30 |
BCBS Idaho Setting Professional Modifier None Typical Low $588.84 Median $676.08 Typical High $707.95 | Professional | None | $588.84 | $676.08 | $707.95 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $407.38 Median $457.09 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $407.38 | $457.09 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $1,905.46 | Facility | None | $1,230.27 | $1,380.38 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $537.03 | Professional | None | $389.05 | $467.74 | $537.03 |
Moda Health Setting Facility Modifier None Typical Low $302.00 Median $954.99 Typical High $5,495.41 | Facility | None | $302.00 | $954.99 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $457.09 Median $630.96 Typical High $954.99 | Professional | None | $457.09 | $630.96 | $954.99 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $323.59 Median $660.69 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $323.59 | $660.69 | $660.69 |
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 $512.86 Median $630.96 Typical High $630.96 | Facility | None | $512.86 | $630.96 | $630.96 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $645.65 | Professional | None | $630.96 | $630.96 | $645.65 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $478.63 | $478.63 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,311.31 Median $4,677.35 Typical High $6,025.60 | Facility | None | $3,311.31 | $4,677.35 | $6,025.60 |
Regence BlueShield Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $676.08 | Professional | None | $575.44 | $676.08 | $676.08 |
Select Health Setting Facility Modifier None Typical Low $302.00 Median $309.03 Typical High $3,388.44 | Facility | None | $302.00 | $309.03 | $3,388.44 |
Select Health Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $616.60 | Professional | None | $302.00 | $302.00 | $616.60 |
United Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $954.99 | Facility | None | $549.54 | $676.08 | $954.99 |
United Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $691.83 | Professional | None | $354.81 | $446.68 | $691.83 |
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 $524.81 Median $588.84 Typical High $645.65 | Professional | 54 · Surgery only | $524.81 | $588.84 | $645.65 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $66.07 Typical High $70.79 | Professional | 55 · Aftercare only | $58.88 | $66.07 | $70.79 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $363.08 Median $407.38 Typical High $446.68 | Professional | 62 · Two surgeons | $363.08 | $407.38 | $446.68 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $707.95 Median $794.33 Typical High $851.14 | Professional | 63 · Small infant | $707.95 | $794.33 | $851.14 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $104.71 Typical High $114.82 | Professional | 80 · Assistant surgeon | $93.33 | $104.71 | $114.82 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $104.71 Typical High $114.82 | Professional | 81 · Minimal assistant surgeon | $93.33 | $104.71 | $114.82 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $104.71 Typical High $114.82 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $104.71 | $114.82 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $89.13 Typical High $97.72 | Professional | AS · PA/NP assist | $79.43 | $89.13 | $97.72 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 22 · Increased work | $707.95 | $707.95 | $707.95 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $446.68 | $446.68 | $446.68 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $64.57 | $64.57 | $64.57 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 62 · Two surgeons | $398.11 | $398.11 | $398.11 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 63 · Small infant | $707.95 | $707.95 | $707.95 |
Where Idaho sits
The same service costs 5.2 times more in Alaska than in Utah. 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.
Idaho· 9th of 51
$646
AK $1,380UT $263
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.