How much rates vary
Facilitymedian $1,514 · 10th to 90th $912 to $5,248Professionalmedian $646 · 10th to 90th $282 to $2,188
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 $275.42 Median $1,096.48 Typical High $2,344.23 | Professional | None | $275.42 | $1,096.48 | $2,344.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $371.54 Typical High $1,737.80 | Professional | 54 · Surgery only | $208.93 | $371.54 | $1,737.80 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,348.96 Median $3,019.95 Typical High $5,248.07 | Facility | None | $1,348.96 | $3,019.95 | $5,248.07 |
BCBS Idaho Setting Professional Modifier None Typical Low $323.59 Median $1,479.11 Typical High $2,089.30 | Professional | None | $323.59 | $1,479.11 | $2,089.30 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $302.00 Median $1,621.81 Typical High $1,905.46 | Professional | 54 · Surgery only | $302.00 | $1,621.81 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,659.59 | Facility | None | $1,096.48 | $1,230.27 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $1,698.24 | Professional | None | $309.03 | $446.68 | $1,698.24 |
Moda Health Setting Facility Modifier None Typical Low $275.42 Median $1,412.54 Typical High $5,495.41 | Facility | None | $275.42 | $1,412.54 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $281.84 Median $1,318.26 Typical High $2,344.23 | Professional | None | $281.84 | $1,318.26 | $2,344.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $371.54 Typical High $1,737.80 | Professional | 54 · Surgery only | $208.93 | $371.54 | $1,737.80 |
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 $371.54 Median $371.54 Typical High $1,949.84 | Facility | None | $371.54 | $371.54 | $1,949.84 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $371.54 Median $645.65 Typical High $2,089.30 | Professional | None | $371.54 | $645.65 | $2,089.30 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,467.37 Median $5,248.07 Typical High $6,606.93 | Facility | None | $3,467.37 | $5,248.07 | $6,606.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $1,862.09 | Professional | None | $323.59 | $426.58 | $1,862.09 |
Select Health Setting Facility Modifier None Typical Low $912.01 Median $933.25 Typical High $4,466.84 | Facility | None | $912.01 | $933.25 | $4,466.84 |
Select Health Setting Professional Modifier None Typical Low $234.42 Median $912.01 Typical High $1,230.27 | Professional | None | $234.42 | $912.01 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,412.54 Typical High $1,621.81 | Facility | None | $1,047.13 | $1,412.54 | $1,621.81 |
United Setting Professional Modifier None Typical Low $239.88 Median $891.25 Typical High $2,187.76 | Professional | None | $239.88 | $891.25 | $2,187.76 |
9 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 Facility Modifier 50 · Both sides Typical Low $1,995.26 Median $4,265.80 Typical High $8,128.31 | Facility | 50 · Both sides | $1,995.26 | $4,265.80 | $8,128.31 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $512.86 Median $630.96 Typical High $3,162.28 | Professional | 50 · Both sides | $512.86 | $630.96 | $3,162.28 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $41.69 Typical High $199.53 | Professional | 55 · Aftercare only | $34.67 | $41.69 | $199.53 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $416.87 Median $489.78 Typical High $2,511.89 | Professional | 63 · Small infant | $416.87 | $489.78 | $2,511.89 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $281.84 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $239.88 | $281.84 | $1,380.38 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $56.23 Median $234.42 Typical High $346.74 | Professional | 80 · Assistant surgeon | $56.23 | $234.42 | $346.74 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $67.61 Typical High $331.13 | Professional | 81 · Minimal assistant surgeon | $54.95 | $67.61 | $331.13 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $56.23 Median $67.61 Typical High $338.84 | Professional | 82 · Assistant surgeon, no resident | $56.23 | $67.61 | $338.84 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $56.23 Typical High $288.40 | Professional | AS · PA/NP assist | $46.77 | $56.23 | $288.40 |
Where Idaho sits
The same service costs 4.0 times more in Oklahoma 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.
Physician feeFacility fee
OK $6,359MD $1,574
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.