How much rates vary
Facilitymedian $1,349 · 10th to 90th $550 to $6,918Professionalmedian $2,630 · 10th to 90th $1,905 to $3,162
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 $4,466.84 Median $4,466.84 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $2,884.03 | Professional | None | $1,905.46 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $2,187.76 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,445.44 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,348.96 | $2,041.74 | $2,041.74 |
BCBS Idaho Setting Facility Modifier None Typical Low $6,165.95 Median $6,606.93 Typical High $7,943.28 | Facility | None | $6,165.95 | $6,606.93 | $7,943.28 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,570.40 Median $2,691.53 Typical High $3,162.28 | Professional | None | $2,570.40 | $2,691.53 | $3,162.28 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $2,290.87 Median $2,691.53 Typical High $2,818.38 | Professional | 54 · Surgery only | $2,290.87 | $2,691.53 | $2,818.38 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,778.28 Median $2,089.30 Typical High $2,187.76 | Professional | 78 · Unplanned return to OR | $1,778.28 | $2,089.30 | $2,187.76 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $1,380.38 Typical High $12,589.25 | Facility | None | $151.36 | $1,380.38 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $2,818.38 | Professional | None | $2,089.30 | $2,398.83 | $2,818.38 |
Moda Health Setting Facility Modifier None Typical Low $1,348.96 Median $2,884.03 Typical High $5,495.41 | Facility | None | $1,348.96 | $2,884.03 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,884.03 Typical High $3,162.28 | Professional | None | $1,949.84 | $2,884.03 | $3,162.28 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,445.44 Median $2,187.76 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,445.44 | $2,187.76 | $2,187.76 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,348.96 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,348.96 | $2,041.74 | $2,041.74 |
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 $2,290.87 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,290.87 | $2,818.38 | $2,818.38 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,235.94 | Professional | None | $2,818.38 | $2,818.38 | $3,235.94 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,162.28 | Professional | None | $2,570.40 | $2,570.40 | $3,162.28 |
Select Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,412.54 | Facility | None | $1,348.96 | $1,348.96 | $1,412.54 |
Select Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,089.30 | Professional | None | $1,348.96 | $1,348.96 | $2,089.30 |
United Setting Facility Modifier None Typical Low $436.52 Median $676.08 Typical High $870.96 | Facility | None | $436.52 | $676.08 | $870.96 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,454.71 Typical High $3,548.13 | Professional | None | $1,698.24 | $2,454.71 | $3,548.13 |
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 $251.19 Median $302.00 Typical High $316.23 | Professional | 55 · Aftercare only | $251.19 | $302.00 | $316.23 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,584.89 Median $1,862.09 Typical High $1,949.84 | Professional | 62 · Two surgeons | $1,584.89 | $1,862.09 | $1,949.84 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $3,019.95 Median $3,548.13 Typical High $3,801.89 | Professional | 63 · Small infant | $3,019.95 | $3,548.13 | $3,801.89 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $407.38 Median $478.63 Typical High $501.19 | Professional | 80 · Assistant surgeon | $407.38 | $478.63 | $501.19 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $407.38 Median $478.63 Typical High $501.19 | Professional | 81 · Minimal assistant surgeon | $407.38 | $478.63 | $501.19 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $407.38 Median $478.63 Typical High $501.19 | Professional | 82 · Assistant surgeon, no resident | $407.38 | $478.63 | $501.19 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $346.74 Median $407.38 Typical High $426.58 | Professional | AS · PA/NP assist | $346.74 | $407.38 | $426.58 |
Where Idaho sits
The same service costs 11.2 times more in Maine than in Washington. 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.
Physician feeFacility fee
ME $24,678WA $2,198
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.