How much rates vary
Facilitymedian $2,239 · 10th to 90th $955 to $9,333Professionalmedian $2,042 · 10th to 90th $1,259 to $3,311
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 $3,890.45 Typical High $7,762.47 | Facility | None | $2,884.03 | $3,890.45 | $7,762.47 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $3,311.31 Typical High $3,311.31 | Professional | None | $1,122.02 | $3,311.31 | $3,311.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $912.01 Median $2,290.87 Typical High $2,290.87 | Professional | 78 · Unplanned return to OR | $912.01 | $2,290.87 | $2,290.87 |
BCBS Idaho Setting Facility Modifier None Typical Low $4,168.69 Median $4,466.84 Typical High $5,370.32 | Facility | None | $4,168.69 | $4,466.84 | $5,370.32 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,238.72 | Professional | None | $1,862.09 | $2,187.76 | $2,238.72 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,318.26 Median $1,513.56 Typical High $1,584.89 | Professional | 78 · Unplanned return to OR | $1,318.26 | $1,513.56 | $1,584.89 |
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 $1,380.38 Median $1,621.81 Typical High $1,905.46 | Professional | None | $1,380.38 | $1,621.81 | $1,905.46 |
Moda Health Setting Facility Modifier None Typical Low $2,884.03 Median $4,677.35 Typical High $28,183.83 | Facility | None | $2,884.03 | $4,677.35 | $28,183.83 |
Moda Health Setting Professional Modifier None Typical Low $1,174.90 Median $2,137.96 Typical High $3,311.31 | Professional | None | $1,174.90 | $2,137.96 | $3,311.31 |
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 $1,659.59 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,659.59 | $1,995.26 | $1,995.26 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,187.76 | Professional | None | $1,995.26 | $1,995.26 | $2,187.76 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $1,659.59 | $1,659.59 | $1,659.59 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,905.46 | $2,238.72 | $2,238.72 |
Select Health Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,023.29 | Facility | None | $954.99 | $954.99 | $1,023.29 |
Select Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $2,137.96 | Professional | None | $954.99 | $954.99 | $2,137.96 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,412.54 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,584.89 Typical High $2,454.71 | Professional | None | $1,230.27 | $1,584.89 | $2,454.71 |
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | 22 · Increased work | $2,398.83 | $2,398.83 | $2,398.83 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 54 · Surgery only | $1,548.82 | $1,548.82 | $1,548.82 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 56 · Pre-op care only | $218.78 | $218.78 | $218.78 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 62 · Two surgeons | $1,380.38 | $1,380.38 | $1,380.38 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | 63 · Small infant | $2,398.83 | $2,398.83 | $2,398.83 |
Where Idaho sits
The same service costs 5.3 times more in Maine than in Delaware. 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
ME $13,782DE $2,610
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.