How much rates vary
Facilitymedian $1,380 · 10th to 90th $550 to $5,248Professionalmedian $933 · 10th to 90th $309 to $5,012
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 $1,621.81 Median $4,466.84 Typical High $7,244.36 | Facility | None | $1,621.81 | $4,466.84 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $1,905.46 Typical High $5,495.41 | Professional | None | $281.84 | $1,905.46 | $5,495.41 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $380.19 Typical High $4,168.69 | Professional | 54 · Surgery only | $213.80 | $380.19 | $4,168.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $354.81 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $199.53 | $354.81 | $3,890.45 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $5,248.07 | Facility | None | $1,348.96 | $1,949.84 | $5,248.07 |
BCBS Idaho Setting Professional Modifier None Typical Low $338.84 Median $3,235.94 Typical High $5,011.87 | Professional | None | $338.84 | $3,235.94 | $5,011.87 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $3,801.89 Typical High $4,677.35 | Professional | 54 · Surgery only | $371.54 | $3,801.89 | $4,677.35 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $288.40 Median $2,884.03 Typical High $3,630.78 | Professional | 78 · Unplanned return to OR | $288.40 | $2,884.03 | $3,630.78 |
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 $478.63 Typical High $3,715.35 | Professional | None | $309.03 | $478.63 | $3,715.35 |
Moda Health Setting Facility Modifier None Typical Low $281.84 Median $2,187.76 Typical High $7,244.36 | Facility | None | $281.84 | $2,187.76 | $7,244.36 |
Moda Health Setting Professional Modifier None Typical Low $331.13 Median $2,691.53 Typical High $5,495.41 | Professional | None | $331.13 | $2,691.53 | $5,495.41 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $380.19 Typical High $4,168.69 | Professional | 54 · Surgery only | $213.80 | $380.19 | $4,168.69 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $354.81 Typical High $3,890.45 | Professional | 78 · Unplanned return to OR | $199.53 | $354.81 | $3,890.45 |
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 $398.11 Median $398.11 Typical High $4,570.88 | Facility | None | $398.11 | $398.11 | $4,570.88 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $398.11 Median $933.25 Typical High $4,677.35 | Professional | None | $398.11 | $933.25 | $4,677.35 |
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 $338.84 Median $446.68 Typical High $3,981.07 | Professional | None | $338.84 | $446.68 | $3,981.07 |
Select Health Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,238.72 | Facility | None | $2,187.76 | $2,187.76 | $2,238.72 |
Select Health Setting Professional Modifier None Typical Low $251.19 Median $2,187.76 Typical High $2,818.38 | Professional | None | $251.19 | $2,187.76 | $2,818.38 |
United Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $954.99 | Facility | None | $549.54 | $676.08 | $954.99 |
United Setting Professional Modifier None Typical Low $245.47 Median $1,513.56 Typical High $3,467.37 | Professional | None | $245.47 | $1,513.56 | $3,467.37 |
6 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 $36.31 Median $67.61 Typical High $501.19 | Professional | 55 · Aftercare only | $36.31 | $67.61 | $501.19 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $457.09 Median $4,265.80 Typical High $6,165.95 | Professional | 63 · Small infant | $457.09 | $4,265.80 | $6,165.95 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $58.88 Median $676.08 Typical High $831.76 | Professional | 80 · Assistant surgeon | $58.88 | $676.08 | $831.76 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $58.88 Median $81.28 Typical High $831.76 | Professional | 81 · Minimal assistant surgeon | $58.88 | $81.28 | $831.76 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $58.88 Median $81.28 Typical High $831.76 | Professional | 82 · Assistant surgeon, no resident | $58.88 | $81.28 | $831.76 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $50.12 Median $60.26 Typical High $676.08 | Professional | AS · PA/NP assist | $50.12 | $60.26 | $676.08 |
Where Idaho sits
The same service costs 7.1 times more in Oregon than in Texas. 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· 37th of 51
$1,349
OR $2,884TX $407
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.