How much rates vary
Facilitymedian $2,138 · 10th to 90th $95 to $7,079Professionalmedian $76 · 10th to 90th $51 to $91
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 $95.50 Median $1,412.54 Typical High $7,079.46 | Facility | None | $95.50 | $1,412.54 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $81.28 | Professional | None | $50.12 | $70.79 | $81.28 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $60.26 Typical High $60.26 | Professional | 54 · Surgery only | $40.74 | $60.26 | $60.26 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,380.38 Median $2,511.89 Typical High $8,128.31 | Facility | None | $1,380.38 | $2,511.89 | $8,128.31 |
BCBS Idaho Setting Professional Modifier None Typical Low $72.44 Median $87.10 Typical High $95.50 | Professional | None | $72.44 | $87.10 | $95.50 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $67.61 Median $81.28 Typical High $85.11 | Professional | 54 · Surgery only | $67.61 | $81.28 | $85.11 |
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 $57.54 Median $69.18 Typical High $81.28 | Professional | None | $57.54 | $69.18 | $81.28 |
Moda Health Setting Facility Modifier None Typical Low $54.95 Median $95.50 Typical High $6,760.83 | Facility | None | $54.95 | $95.50 | $6,760.83 |
Moda Health Setting Professional Modifier None Typical Low $54.95 Median $81.28 Typical High $91.20 | Professional | None | $54.95 | $81.28 | $91.20 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $40.74 Median $60.26 Typical High $60.26 | Professional | 54 · Surgery only | $40.74 | $60.26 | $60.26 |
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 $69.18 Median $85.11 Typical High $85.11 | Facility | None | $69.18 | $85.11 | $85.11 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $141.25 | Professional | None | $85.11 | $85.11 | $141.25 |
Regence BlueShield Setting Facility Modifier None Typical Low $5,128.61 Median $7,244.36 Typical High $10,232.93 | Facility | None | $5,128.61 | $7,244.36 | $10,232.93 |
Regence BlueShield Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | None | $72.44 | $72.44 | $91.20 |
Select Health Setting Facility Modifier None Typical Low $39.81 Median $40.74 Typical High $5,128.61 | Facility | None | $39.81 | $40.74 | $5,128.61 |
Select Health Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $60.26 | Professional | None | $39.81 | $39.81 | $60.26 |
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 $47.86 Median $70.79 Typical High $97.72 | Professional | None | $47.86 | $70.79 | $97.72 |
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 $7.59 Median $8.91 Typical High $9.55 | Professional | 55 · Aftercare only | $7.59 | $8.91 | $9.55 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $91.20 Median $107.15 Typical High $114.82 | Professional | 63 · Small infant | $91.20 | $107.15 | $114.82 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $53.70 Median $63.10 Typical High $66.07 | Professional | 78 · Unplanned return to OR | $53.70 | $63.10 | $66.07 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.02 Median $14.45 Typical High $15.14 | Professional | 80 · Assistant surgeon | $12.02 | $14.45 | $15.14 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $14.45 Typical High $15.14 | Professional | 81 · Minimal assistant surgeon | $12.02 | $14.45 | $15.14 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $14.45 Typical High $15.14 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $14.45 | $15.14 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $10.23 Median $12.30 Typical High $12.88 | Professional | AS · PA/NP assist | $10.23 | $12.30 | $12.88 |
Where Idaho sits
The same service costs 20.9 times more in Oklahoma than in Kentucky. 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· 21st of 51
$85.11
OK $1,000KY $47.86
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.