How much rates vary
Facilitymedian $1,862 · 10th to 90th $550 to $8,913Professionalmedian $4,074 · 10th to 90th $2,512 to $6,457
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 $4,466.84 Median $4,466.84 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $6,456.54 Typical High $6,456.54 | Professional | None | $2,454.71 | $6,456.54 | $6,456.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $4,786.30 Typical High $4,786.30 | Professional | 54 · Surgery only | $1,862.09 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,737.80 Median $4,466.84 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $1,737.80 | $4,466.84 | $4,466.84 |
BCBS Idaho Setting Facility Modifier None Typical Low $7,943.28 Median $8,511.38 Typical High $10,471.29 | Facility | None | $7,943.28 | $8,511.38 | $10,471.29 |
BCBS Idaho Setting Professional Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $4,466.84 | Professional | None | $3,630.78 | $4,265.80 | $4,466.84 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $3,235.94 Median $3,801.89 Typical High $3,981.07 | Professional | 54 · Surgery only | $3,235.94 | $3,801.89 | $3,981.07 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,570.40 Median $2,951.21 Typical High $3,090.30 | Professional | 78 · Unplanned return to OR | $2,570.40 | $2,951.21 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $12,589.25 | Facility | None | $151.36 | $1,380.38 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $3,162.28 Typical High $3,715.35 | Professional | None | $2,691.53 | $3,162.28 | $3,715.35 |
Moda Health Setting Facility Modifier None Typical Low $1,862.09 Median $5,495.41 Typical High $9,120.11 | Facility | None | $1,862.09 | $5,495.41 | $9,120.11 |
Moda Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,168.69 Typical High $6,456.54 | Professional | None | $3,019.95 | $4,168.69 | $6,456.54 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $4,786.30 Typical High $4,786.30 | Professional | 54 · Surgery only | $2,290.87 | $4,786.30 | $4,786.30 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $2,137.96 Median $4,466.84 Typical High $4,466.84 | Professional | 78 · Unplanned return to OR | $2,137.96 | $4,466.84 | $4,466.84 |
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 $3,235.94 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,235.94 | $3,890.45 | $3,890.45 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,265.80 | Professional | None | $3,890.45 | $3,890.45 | $4,265.80 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | 54 · Surgery only | $2,951.21 | $2,951.21 | $2,951.21 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | 78 · Unplanned return to OR | $3,162.28 | $3,162.28 | $3,162.28 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,801.89 Median $4,466.84 Typical High $4,466.84 | Professional | None | $3,801.89 | $4,466.84 | $4,466.84 |
Select Health Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,041.74 | Facility | None | $1,862.09 | $1,862.09 | $2,041.74 |
Select Health Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $4,073.80 | Professional | None | $1,862.09 | $1,862.09 | $4,073.80 |
United Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Facility | None | $436.52 | $676.08 | $870.96 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $3,090.30 Typical High $4,786.30 | Professional | None | $2,344.23 | $3,090.30 | $4,786.30 |
11 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 55 · Aftercare only Typical Low $363.08 Median $416.87 Typical High $436.52 | Professional | 55 · Aftercare only | $363.08 | $416.87 | $436.52 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $2,290.87 Median $2,630.27 Typical High $2,754.23 | Professional | 62 · Two surgeons | $2,290.87 | $2,630.27 | $2,754.23 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $4,365.16 Median $5,011.87 Typical High $5,248.07 | Professional | 63 · Small infant | $4,365.16 | $5,011.87 | $5,248.07 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $575.44 Median $676.08 Typical High $707.95 | Professional | 80 · Assistant surgeon | $575.44 | $676.08 | $707.95 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $575.44 Median $676.08 Typical High $707.95 | Professional | 81 · Minimal assistant surgeon | $575.44 | $676.08 | $707.95 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $575.44 Median $676.08 Typical High $707.95 | Professional | 82 · Assistant surgeon, no resident | $575.44 | $676.08 | $707.95 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $489.78 Median $575.44 Typical High $602.56 | Professional | AS · PA/NP assist | $489.78 | $575.44 | $602.56 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | 22 · Increased work | $4,677.35 | $4,677.35 | $4,677.35 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 56 · Pre-op care only | $426.58 | $426.58 | $426.58 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | 62 · Two surgeons | $2,630.27 | $2,630.27 | $2,630.27 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | 63 · Small infant | $4,677.35 | $4,677.35 | $4,677.35 |
Where Idaho sits
The same service costs 21.9 times more in Alaska than in Texas. 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· 11th of 51
$3,981
AK $7,586TX $347
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.