How much rates vary
Facilitymedian $871 · 10th to 90th $550 to $1,862Professionalmedian $1,230 · 10th to 90th $832 to $1,862
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 Professional Modifier None Typical Low $691.83 Median $1,096.48 Typical High $1,412.54 | Professional | None | $691.83 | $1,096.48 | $1,412.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $162.18 Typical High $208.93 | Professional | 55 · Aftercare only | $125.89 | $162.18 | $208.93 |
BCBS Idaho Setting Facility Modifier None Typical Low $257.04 Median $3,630.78 Typical High $3,630.78 | Facility | None | $257.04 | $3,630.78 | $3,630.78 |
BCBS Idaho Setting Professional Modifier None Typical Low $912.01 Median $1,513.56 Typical High $2,238.72 | Professional | None | $912.01 | $1,513.56 | $2,238.72 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $151.36 Typical High $223.87 | Professional | 55 · Aftercare only | $125.89 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $1,584.89 | Professional | None | $977.24 | $1,230.27 | $1,584.89 |
Moda Health Setting Facility Modifier None Typical Low $630.96 Median $1,096.48 Typical High $1,548.82 | Facility | None | $630.96 | $1,096.48 | $1,548.82 |
Moda Health Setting Professional Modifier None Typical Low $870.96 Median $1,380.38 Typical High $2,089.30 | Professional | None | $870.96 | $1,380.38 | $2,089.30 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $162.18 Typical High $208.93 | Professional | 55 · Aftercare only | $128.82 | $162.18 | $208.93 |
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 $1,230.27 Median $1,230.27 Typical High $1,862.09 | Facility | None | $1,230.27 | $1,230.27 | $1,862.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,862.09 | Professional | None | $1,230.27 | $1,230.27 | $1,862.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $1,202.26 Typical High $1,778.28 | Professional | None | $912.01 | $1,202.26 | $1,778.28 |
Select Health Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $1,023.29 | Facility | None | $954.99 | $954.99 | $1,023.29 |
Select Health Setting Professional Modifier None Typical Low $870.96 Median $954.99 Typical High $1,288.25 | Professional | None | $870.96 | $954.99 | $1,288.25 |
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 $691.83 Median $977.24 Typical High $1,479.11 | Professional | None | $691.83 | $977.24 | $1,479.11 |
11 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $549.54 Typical High $707.95 | Professional | 52 · Reduced service | $416.87 | $549.54 | $707.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $109.65 Typical High $141.25 | Professional | 56 · Pre-op care only | $83.18 | $109.65 | $141.25 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,047.13 Median $1,348.96 Typical High $2,041.74 | Professional | 54 · Surgery only | $1,047.13 | $1,348.96 | $2,041.74 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,412.54 Median $1,819.70 Typical High $2,570.40 | Professional | 63 · Small infant | $1,412.54 | $1,819.70 | $2,570.40 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $870.96 Median $1,047.13 Typical High $1,621.81 | Professional | 78 · Unplanned return to OR | $870.96 | $1,047.13 | $1,621.81 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $186.21 Median $239.88 Typical High $371.54 | Professional | 80 · Assistant surgeon | $186.21 | $239.88 | $371.54 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $190.55 Median $239.88 Typical High $371.54 | Professional | 81 · Minimal assistant surgeon | $190.55 | $239.88 | $371.54 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $199.53 Median $245.47 Typical High $371.54 | Professional | 82 · Assistant surgeon, no resident | $199.53 | $245.47 | $371.54 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $208.93 Typical High $316.23 | Professional | AS · PA/NP assist | $173.78 | $208.93 | $316.23 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $549.54 Typical High $707.95 | Professional | 52 · Reduced service | $436.52 | $549.54 | $707.95 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $109.65 Typical High $141.25 | Professional | 56 · Pre-op care only | $87.10 | $109.65 | $141.25 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in Indiana. 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
$1,230
AK $2,512IN $776
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.