How much rates vary
Facilitymedian $2,291 · 10th to 90th $759 to $8,511Professionalmedian $589 · 10th to 90th $417 to $724
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 $426.58 Median $724.44 Typical High $724.44 | Professional | None | $426.58 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $316.23 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $295.12 | $501.19 | $501.19 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,698.24 Median $3,162.28 Typical High $9,120.11 | Facility | None | $1,698.24 | $3,162.28 | $9,120.11 |
BCBS Idaho Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $741.31 | Professional | None | $549.54 | $676.08 | $741.31 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $616.60 Typical High $660.69 | Professional | 54 · Surgery only | $537.03 | $616.60 | $660.69 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $478.63 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $416.87 | $478.63 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,884.03 | Facility | None | $1,905.46 | $2,137.96 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $616.60 | Professional | None | $457.09 | $524.81 | $616.60 |
Moda Health Setting Facility Modifier None Typical Low $316.23 Median $724.44 Typical High $5,495.41 | Facility | None | $316.23 | $724.44 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $724.44 | Professional | None | $478.63 | $691.83 | $724.44 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $537.03 Typical High $537.03 | Professional | 54 · Surgery only | $363.08 | $537.03 | $537.03 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $501.19 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $338.84 | $501.19 | $501.19 |
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 $537.03 Median $660.69 Typical High $660.69 | Facility | None | $537.03 | $660.69 | $660.69 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,096.48 | Professional | None | $660.69 | $660.69 | $1,096.48 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,025.60 Median $8,511.38 Typical High $11,481.54 | Facility | None | $6,025.60 | $8,511.38 | $11,481.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $691.83 | Professional | None | $549.54 | $549.54 | $691.83 |
Select Health Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $6,165.95 | Facility | None | $316.23 | $316.23 | $6,165.95 |
Select Health Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $467.74 | Professional | None | $316.23 | $316.23 | $467.74 |
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 $354.81 Median $524.81 Typical High $741.31 | Professional | None | $354.81 | $524.81 | $741.31 |
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 $58.88 Median $69.18 Typical High $74.13 | Professional | 55 · Aftercare only | $58.88 | $69.18 | $74.13 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $707.95 Median $831.76 Typical High $891.25 | Professional | 63 · Small infant | $707.95 | $831.76 | $891.25 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $109.65 Typical High $117.49 | Professional | 80 · Assistant surgeon | $95.50 | $109.65 | $117.49 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $109.65 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $95.50 | $109.65 | $117.49 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $109.65 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $109.65 | $117.49 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $93.33 Typical High $100.00 | Professional | AS · PA/NP assist | $81.28 | $93.33 | $100.00 |
Where Idaho sits
The same service costs 6.2 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· 11th of 51
$692
AK $1,905UT $309
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.