How much rates vary
Facilitymedian $6,761 · 10th to 90th $724 to $17,378Professionalmedian $741 · 10th to 90th $457 to $1,175
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 $3,388.44 Median $4,466.84 Typical High $8,709.64 | Facility | None | $3,388.44 | $4,466.84 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $1,174.90 Typical High $1,174.90 | Professional | None | $407.38 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $338.84 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $316.23 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $316.23 | $831.76 | $831.76 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,691.53 Median $7,244.36 Typical High $17,378.01 | Facility | None | $2,691.53 | $7,244.36 | $17,378.01 |
BCBS Idaho Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $831.76 | Professional | None | $676.08 | $794.33 | $831.76 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $616.60 Median $707.95 Typical High $741.31 | Professional | 54 · Surgery only | $616.60 | $707.95 | $741.31 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $478.63 Median $549.54 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $478.63 | $549.54 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $676.08 | Professional | None | $489.78 | $588.84 | $676.08 |
Moda Health Setting Facility Modifier None Typical Low $1,174.90 Median $3,388.44 Typical High $8,709.64 | Facility | None | $1,174.90 | $3,388.44 | $8,709.64 |
Moda Health Setting Professional Modifier None Typical Low $426.58 Median $776.25 Typical High $1,174.90 | Professional | None | $426.58 | $776.25 | $1,174.90 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $891.25 Typical High $891.25 | Professional | 54 · Surgery only | $416.87 | $891.25 | $891.25 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $389.05 | $831.76 | $831.76 |
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 $602.56 Median $724.44 Typical High $724.44 | Facility | None | $602.56 | $724.44 | $724.44 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $794.33 | Professional | None | $724.44 | $724.44 | $794.33 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 54 · Surgery only | $549.54 | $549.54 | $549.54 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $588.84 | $588.84 | $588.84 |
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 $707.95 Median $831.76 Typical High $831.76 | Professional | None | $707.95 | $831.76 | $831.76 |
Select Health Setting Facility Modifier None Typical Low $281.84 Median $346.74 Typical High $7,244.36 | Facility | None | $281.84 | $346.74 | $7,244.36 |
Select Health Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $758.58 | Professional | None | $346.74 | $346.74 | $758.58 |
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 $457.09 Median $575.44 Typical High $891.25 | Professional | None | $457.09 | $575.44 | $891.25 |
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 $67.61 Median $77.62 Typical High $83.18 | Professional | 55 · Aftercare only | $67.61 | $77.62 | $83.18 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $426.58 Median $489.78 Typical High $512.86 | Professional | 62 · Two surgeons | $426.58 | $489.78 | $512.86 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $812.83 Median $933.25 Typical High $977.24 | Professional | 63 · Small infant | $812.83 | $933.25 | $977.24 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $125.89 Typical High $131.83 | Professional | 80 · Assistant surgeon | $107.15 | $125.89 | $131.83 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $107.15 Median $125.89 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $107.15 | $125.89 | $131.83 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $107.15 Median $125.89 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $107.15 | $125.89 | $131.83 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $107.15 Typical High $112.20 | Professional | AS · PA/NP assist | $91.20 | $107.15 | $112.20 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 22 · Increased work | $870.96 | $870.96 | $870.96 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $79.43 | $79.43 | $79.43 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 62 · Two surgeons | $489.78 | $489.78 | $489.78 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 63 · Small infant | $870.96 | $870.96 | $870.96 |
Where Idaho sits
The same service costs 4.4 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
$759
AK $1,318UT $302
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.