How much rates vary
Facilitymedian $417 · 10th to 90th $120 to $955Professionalmedian $93 · 10th to 90th $41 to $288
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 $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 $32.36 Median $123.03 Typical High $398.11 | Professional | None | $32.36 | $123.03 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $67.61 Typical High $295.12 | Professional | 54 · Surgery only | $34.67 | $67.61 | $295.12 |
BCBS Idaho Setting Facility Modifier None Typical Low $190.55 Median $380.19 Typical High $741.31 | Facility | None | $190.55 | $380.19 | $741.31 |
BCBS Idaho Setting Professional Modifier None Typical Low $48.98 Median $194.98 Typical High $275.42 | Professional | None | $48.98 | $194.98 | $275.42 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $42.66 Median $53.70 Typical High $245.47 | Professional | 54 · Surgery only | $42.66 | $53.70 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $123.03 Typical High $229.09 | Professional | None | $43.65 | $123.03 | $229.09 |
Hally Health Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $251.19 | Professional | None | $213.80 | $213.80 | $251.19 |
Moda Health Setting Facility Modifier None Typical Low $89.13 Median $467.74 Typical High $6,025.60 | Facility | None | $89.13 | $467.74 | $6,025.60 |
Moda Health Setting Professional Modifier None Typical Low $40.74 Median $123.03 Typical High $398.11 | Professional | None | $40.74 | $123.03 | $398.11 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $67.61 Typical High $295.12 | Professional | 54 · Surgery only | $67.61 | $67.61 | $295.12 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $74.13 | Professional | None | $33.11 | $33.11 | $74.13 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $251.19 | Facility | None | $51.29 | $51.29 | $251.19 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $51.29 Median $151.36 Typical High $251.19 | Professional | None | $51.29 | $151.36 | $251.19 |
Regence BlueShield Setting Facility Modifier None Typical Low $446.68 Median $630.96 Typical High $794.33 | Facility | None | $446.68 | $630.96 | $794.33 |
Regence BlueShield Setting Professional Modifier None Typical Low $56.23 Median $75.86 Typical High $269.15 | Professional | None | $56.23 | $75.86 | $269.15 |
Select Health Setting Facility Modifier None Typical Low $120.23 Median $123.03 Typical High $549.54 | Facility | None | $120.23 | $123.03 | $549.54 |
Select Health Setting Professional Modifier None Typical Low $46.77 Median $120.23 Typical High $186.21 | Professional | None | $46.77 | $120.23 | $186.21 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $8,317.64 Typical High $9,332.54 | Facility | None | $1,862.09 | $8,317.64 | $9,332.54 |
United Setting Professional Modifier None Typical Low $33.88 Median $125.89 Typical High $309.03 | Professional | None | $33.88 | $125.89 | $309.03 |
7 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 $4.68 Median $5.75 Typical High $27.54 | Professional | 55 · Aftercare only | $4.68 | $5.75 | $27.54 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $58.88 Median $69.18 Typical High $316.23 | Professional | 63 · Small infant | $58.88 | $69.18 | $316.23 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $33.11 Median $39.81 Typical High $199.53 | Professional | 78 · Unplanned return to OR | $33.11 | $39.81 | $199.53 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.59 Median $36.31 Typical High $43.65 | Professional | 80 · Assistant surgeon | $7.59 | $36.31 | $43.65 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.76 Median $9.12 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $7.76 | $9.12 | $41.69 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.76 Median $9.55 Typical High $45.71 | Professional | 82 · Assistant surgeon, no resident | $7.76 | $9.55 | $45.71 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $6.46 Median $7.59 Typical High $36.31 | Professional | AS · PA/NP assist | $6.46 | $7.59 | $36.31 |
Where Idaho sits
The same service costs 4.7 times more in Wisconsin than in Maryland. 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· 16th of 51
$155
WI $245MD $52.48
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.