How much rates vary
Facilitymedian $1,202 · 10th to 90th $525 to $5,248Professionalmedian $603 · 10th to 90th $209 to $1,585
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 $204.17 Median $758.58 Typical High $1,737.80 | Professional | None | $204.17 | $758.58 | $1,737.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $275.42 Typical High $1,288.25 | Professional | 54 · Surgery only | $154.88 | $275.42 | $1,288.25 |
BCBS Idaho Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $5,248.07 | Facility | None | $501.19 | $831.76 | $5,248.07 |
BCBS Idaho Setting Professional Modifier None Typical Low $245.47 Median $1,122.02 Typical High $1,584.89 | Professional | None | $245.47 | $1,122.02 | $1,584.89 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $288.40 Typical High $1,412.54 | Professional | 54 · Surgery only | $263.03 | $288.40 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $794.33 Typical High $1,071.52 | Facility | None | $707.95 | $794.33 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $1,230.27 | Professional | None | $223.87 | $338.84 | $1,230.27 |
Moda Health Setting Facility Modifier None Typical Low $204.17 Median $1,122.02 Typical High $5,495.41 | Facility | None | $204.17 | $1,122.02 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $208.93 Median $870.96 Typical High $1,737.80 | Professional | None | $208.93 | $870.96 | $1,737.80 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $275.42 Typical High $1,288.25 | Professional | 54 · Surgery only | $154.88 | $275.42 | $1,288.25 |
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 $281.84 Median $281.84 Typical High $1,445.44 | Facility | None | $281.84 | $281.84 | $1,445.44 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $281.84 Median $489.78 Typical High $1,584.89 | Professional | None | $281.84 | $489.78 | $1,584.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,467.37 Median $5,011.87 Typical High $6,606.93 | Facility | None | $3,467.37 | $5,011.87 | $6,606.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $245.47 Median $323.59 Typical High $1,230.27 | Professional | None | $245.47 | $323.59 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $691.83 Median $707.95 Typical High $2,454.71 | Facility | None | $691.83 | $707.95 | $2,454.71 |
Select Health Setting Professional Modifier None Typical Low $177.83 Median $691.83 Typical High $912.01 | Professional | None | $177.83 | $691.83 | $912.01 |
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 $177.83 Median $602.56 Typical High $1,412.54 | Professional | None | $177.83 | $602.56 | $1,412.54 |
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 $758.58 Median $1,230.27 Typical High $7,943.28 | Facility | 50 · Both sides | $758.58 | $1,230.27 | $7,943.28 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $478.63 Typical High $2,398.83 | Professional | 50 · Both sides | $407.38 | $478.63 | $2,398.83 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $31.62 Typical High $162.18 | Professional | 55 · Aftercare only | $26.30 | $31.62 | $162.18 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $316.23 Median $1,621.81 Typical High $1,949.84 | Professional | 63 · Small infant | $316.23 | $1,621.81 | $1,949.84 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $213.80 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $181.97 | $213.80 | $1,096.48 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $41.69 Median $50.12 Typical High $263.03 | Professional | 80 · Assistant surgeon | $41.69 | $50.12 | $263.03 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $50.12 Typical High $251.19 | Professional | 81 · Minimal assistant surgeon | $41.69 | $50.12 | $251.19 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $199.53 Typical High $263.03 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $199.53 | $263.03 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $39.81 Median $42.66 Typical High $213.80 | Professional | AS · PA/NP assist | $39.81 | $42.66 | $213.80 |
Where Idaho sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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
$851
WI $1,259NE $316
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.