How much rates vary
Facilitymedian $148 · 10th to 90th $60 to $501Professionalmedian $71 · 10th to 90th $47 to $98
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 $41.69 Median $66.07 Typical High $87.10 | Professional | None | $41.69 | $66.07 | $87.10 |
BCBS Idaho Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $446.68 | Facility | None | $91.20 | $123.03 | $446.68 |
BCBS Idaho Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $107.15 | Professional | None | $61.66 | $77.62 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $79.43 | Professional | None | $56.23 | $64.57 | $79.43 |
Moda Health Setting Facility Modifier None Typical Low $46.77 Median $87.10 Typical High $5,495.41 | Facility | None | $46.77 | $87.10 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $46.77 Median $70.79 Typical High $95.50 | Professional | None | $46.77 | $70.79 | $95.50 |
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 $67.61 Median $67.61 Typical High $97.72 | Facility | None | $67.61 | $67.61 | $97.72 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $67.61 Median $89.13 Typical High $100.00 | Professional | None | $67.61 | $89.13 | $100.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $85.11 | Professional | None | $61.66 | $77.62 | $85.11 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $47.86 Typical High $147.91 | Facility | None | $46.77 | $47.86 | $147.91 |
Select Health Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $63.10 | Professional | None | $43.65 | $46.77 | $63.10 |
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 $43.65 Median $64.57 Typical High $91.20 | Professional | None | $43.65 | $64.57 | $91.20 |
8 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 54 · Surgery only Typical Low $56.23 Median $66.07 Typical High $81.28 | Professional | 54 · Surgery only | $56.23 | $66.07 | $81.28 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $7.59 Typical High $10.47 | Professional | 55 · Aftercare only | $6.31 | $7.59 | $10.47 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $75.86 Median $107.15 Typical High $131.83 | Professional | 63 · Small infant | $75.86 | $107.15 | $131.83 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $43.65 Median $52.48 Typical High $74.13 | Professional | 78 · Unplanned return to OR | $43.65 | $52.48 | $74.13 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.00 Median $14.45 Typical High $17.78 | Professional | 80 · Assistant surgeon | $10.00 | $14.45 | $17.78 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $12.30 Typical High $16.98 | Professional | 81 · Minimal assistant surgeon | $10.00 | $12.30 | $16.98 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.77 Median $12.30 Typical High $17.78 | Professional | 82 · Assistant surgeon, no resident | $9.77 | $12.30 | $17.78 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $8.51 Median $10.47 Typical High $12.88 | Professional | AS · PA/NP assist | $8.51 | $10.47 | $12.88 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in Pennsylvania. 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· 12th of 51
$72.44
AK $162PA $50.12
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.