How much rates vary
Facilitymedian $224 · 10th to 90th $107 to $5,495Professionalmedian $155 · 10th to 90th $102 to $245
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $123.03 Median $213.80 Typical High $323.59 | Professional | None | $123.03 | $213.80 | $323.59 |
BCBS Idaho Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $245.47 | Professional | None | $125.89 | $208.93 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $177.83 | Professional | None | $100.00 | $120.23 | $177.83 |
Moda Health Setting Facility Modifier None Typical Low $158.49 Median $323.59 Typical High $5,495.41 | Facility | None | $158.49 | $323.59 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $102.33 Median $199.53 Typical High $323.59 | Professional | None | $102.33 | $199.53 | $323.59 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $223.87 | Facility | None | $120.23 | $120.23 | $223.87 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $120.23 Median $218.78 Typical High $229.09 | Professional | None | $120.23 | $218.78 | $229.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $141.25 Median $151.36 Typical High $223.87 | Professional | None | $141.25 | $151.36 | $223.87 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $109.65 | Facility | None | $107.15 | $107.15 | $109.65 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $15,488.17 Typical High $26,302.68 | Facility | None | $3,801.89 | $15,488.17 | $26,302.68 |
United Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $229.09 | Professional | None | $75.86 | $120.23 | $229.09 |
10 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 50 · Both sides Typical Low $186.21 Median $208.93 Typical High $380.19 | Professional | 50 · Both sides | $186.21 | $208.93 | $380.19 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $123.03 Typical High $229.09 | Professional | 54 · Surgery only | $104.71 | $123.03 | $229.09 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $20.89 Typical High $25.12 | Professional | 55 · Aftercare only | $11.22 | $20.89 | $25.12 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $70.79 Median $83.18 Typical High $151.36 | Professional | 62 · Two surgeons | $70.79 | $83.18 | $151.36 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $134.90 Median $162.18 Typical High $295.12 | Professional | 63 · Small infant | $134.90 | $162.18 | $295.12 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $95.50 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $81.28 | $95.50 | $169.82 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.78 Median $21.88 Typical High $38.02 | Professional | 80 · Assistant surgeon | $17.78 | $21.88 | $38.02 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $21.38 Typical High $40.74 | Professional | 81 · Minimal assistant surgeon | $17.78 | $21.38 | $40.74 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.62 Median $34.67 Typical High $40.74 | Professional | 82 · Assistant surgeon, no resident | $18.62 | $34.67 | $40.74 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $18.62 Typical High $30.20 | Professional | AS · PA/NP assist | $16.98 | $18.62 | $30.20 |
Where Idaho sits
The same service costs 8.7 times more in Oklahoma than in Michigan. 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· 25th of 51
$162
OK $832MI $95.50
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.