How much rates vary
Facilitymedian $6,761 · 10th to 90th $692 to $17,378Professionalmedian $692 · 10th to 90th $398 to $1,122
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 $676.08 Median $1,318.26 Typical High $8,709.64 | Facility | None | $676.08 | $1,318.26 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $1,122.02 Typical High $1,122.02 | Professional | None | $354.81 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $316.23 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $295.12 | $776.25 | $776.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,235.94 Median $7,244.36 Typical High $17,378.01 | Facility | None | $3,235.94 | $7,244.36 | $17,378.01 |
BCBS Idaho Setting Professional Modifier None Typical Low $630.96 Median $741.31 Typical High $776.25 | Professional | None | $630.96 | $741.31 | $776.25 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $575.44 Median $660.69 Typical High $691.83 | Professional | 54 · Surgery only | $575.44 | $660.69 | $691.83 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $446.68 Median $512.86 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $446.68 | $512.86 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $645.65 | Professional | None | $467.74 | $549.54 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $1,122.02 Median $3,090.30 Typical High $12,589.25 | Facility | None | $1,122.02 | $3,090.30 | $12,589.25 |
Moda Health Setting Professional Modifier None Typical Low $389.05 Median $724.44 Typical High $1,122.02 | Professional | None | $389.05 | $724.44 | $1,122.02 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $831.76 Typical High $831.76 | Professional | 54 · Surgery only | $389.05 | $831.76 | $831.76 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $363.08 Median $776.25 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $363.08 | $776.25 | $776.25 |
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 $562.34 Median $691.83 Typical High $691.83 | Facility | None | $562.34 | $691.83 | $691.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $741.31 | Professional | None | $691.83 | $691.83 | $741.31 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 54 · Surgery only | $512.86 | $512.86 | $512.86 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $549.54 | $549.54 | $549.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $9,772.37 Median $14,125.38 Typical High $19,054.61 | Facility | None | $9,772.37 | $14,125.38 | $19,054.61 |
Regence BlueShield Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $776.25 | Professional | None | $660.69 | $776.25 | $776.25 |
Select Health Setting Facility Modifier None Typical Low $263.03 Median $331.13 Typical High $7,244.36 | Facility | None | $263.03 | $331.13 | $7,244.36 |
Select Health Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $707.95 | Professional | None | $331.13 | $331.13 | $707.95 |
United Setting Facility Modifier None Typical Low $10,471.29 Median $22,387.21 Typical High $27,542.29 | Facility | None | $10,471.29 | $22,387.21 | $27,542.29 |
United Setting Professional Modifier None Typical Low $426.58 Median $549.54 Typical High $831.76 | Professional | None | $426.58 | $549.54 | $831.76 |
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 $63.10 Median $74.13 Typical High $77.62 | Professional | 55 · Aftercare only | $63.10 | $74.13 | $77.62 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $398.11 Median $457.09 Typical High $478.63 | Professional | 62 · Two surgeons | $398.11 | $457.09 | $478.63 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $758.58 Median $891.25 Typical High $933.25 | Professional | 63 · Small infant | $758.58 | $891.25 | $933.25 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $102.33 Median $117.49 Typical High $123.03 | Professional | 80 · Assistant surgeon | $102.33 | $117.49 | $123.03 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $102.33 Median $117.49 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $102.33 | $117.49 | $123.03 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $102.33 Median $117.49 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $102.33 | $117.49 | $123.03 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $100.00 Typical High $104.71 | Professional | AS · PA/NP assist | $87.10 | $100.00 | $104.71 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 22 · Increased work | $812.83 | $812.83 | $812.83 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 56 · Pre-op care only | $74.13 | $74.13 | $74.13 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 62 · Two surgeons | $457.09 | $457.09 | $457.09 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 63 · Small infant | $812.83 | $812.83 | $812.83 |
Where Idaho sits
The same service costs 4.2 times more in Wyoming 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
$708
WY $1,202UT $288
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.