How much rates vary
Facilitymedian $355 · 10th to 90th $186 to $832Professionalmedian $275 · 10th to 90th $174 to $447
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 $138.04 Median $263.03 Typical High $398.11 | Professional | None | $138.04 | $263.03 | $398.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $199.53 Typical High $295.12 | Professional | 54 · Surgery only | $131.83 | $199.53 | $295.12 |
BCBS Idaho Setting Facility Modifier None Typical Low $229.09 Median $407.38 Typical High $831.76 | Facility | None | $229.09 | $407.38 | $831.76 |
BCBS Idaho Setting Professional Modifier None Typical Low $229.09 Median $354.81 Typical High $478.63 | Professional | None | $229.09 | $354.81 | $478.63 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $380.19 Typical High $446.68 | Professional | 54 · Surgery only | $208.93 | $380.19 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $281.84 | Facility | None | $181.97 | $204.17 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $354.81 | Professional | None | $194.98 | $257.04 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $380.19 Typical High $5,495.41 | Facility | None | $173.78 | $380.19 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $446.68 | Professional | None | $173.78 | $275.42 | $446.68 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $199.53 Typical High $295.12 | Professional | 54 · Surgery only | $131.83 | $199.53 | $295.12 |
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 $251.19 Median $251.19 Typical High $436.52 | Facility | None | $251.19 | $251.19 | $436.52 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $251.19 Median $346.74 Typical High $467.74 | Professional | None | $251.19 | $346.74 | $467.74 |
Regence BlueShield Setting Facility Modifier None Typical Low $549.54 Median $776.25 Typical High $1,047.13 | Facility | None | $549.54 | $776.25 | $1,047.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $436.52 | Professional | None | $229.09 | $302.00 | $436.52 |
Select Health Setting Facility Modifier None Typical Low $208.93 Median $213.80 Typical High $575.44 | Facility | None | $208.93 | $213.80 | $575.44 |
Select Health Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $295.12 | Professional | None | $158.49 | $208.93 | $295.12 |
United Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $501.19 | Facility | None | $144.54 | $363.08 | $501.19 |
United Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $380.19 | Professional | None | $158.49 | $245.47 | $380.19 |
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 $23.99 Median $29.51 Typical High $47.86 | Professional | 55 · Aftercare only | $23.99 | $29.51 | $47.86 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $281.84 Median $416.87 Typical High $602.56 | Professional | 63 · Small infant | $281.84 | $416.87 | $602.56 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $162.18 Median $199.53 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $162.18 | $199.53 | $323.59 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $41.69 Median $46.77 Typical High $77.62 | Professional | 80 · Assistant surgeon | $41.69 | $46.77 | $77.62 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.90 Median $46.77 Typical High $79.43 | Professional | 81 · Minimal assistant surgeon | $38.90 | $46.77 | $79.43 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $37.15 Median $45.71 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $37.15 | $45.71 | $77.62 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $31.62 Median $60.26 Typical High $67.61 | Professional | AS · PA/NP assist | $31.62 | $60.26 | $67.61 |
Where Idaho sits
The same service costs 4.2 times more in Alaska 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· 14th of 51
$275
AK $617KY $148
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.