How much rates vary
Facilitymedian $2,291 · 10th to 90th $617 to $7,244Professionalmedian $575 · 10th to 90th $417 to $776
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 $616.60 Median $707.95 Typical High $5,495.41 | Facility | None | $616.60 | $707.95 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $512.86 Typical High $602.56 | Professional | None | $380.19 | $512.86 | $602.56 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $8,128.31 | Facility | None | $1,659.59 | $2,570.40 | $8,128.31 |
BCBS Idaho Setting Professional Modifier None Typical Low $436.52 Median $691.83 Typical High $912.01 | Professional | None | $436.52 | $691.83 | $912.01 |
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 $457.09 Median $575.44 Typical High $645.65 | Professional | None | $457.09 | $575.44 | $645.65 |
Moda Health Setting Facility Modifier None Typical Low $380.19 Median $741.31 Typical High $7,413.10 | Facility | None | $380.19 | $741.31 | $7,413.10 |
Moda Health Setting Professional Modifier None Typical Low $416.87 Median $602.56 Typical High $758.58 | Professional | None | $416.87 | $602.56 | $758.58 |
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 $588.84 Median $588.84 Typical High $741.31 | Facility | None | $588.84 | $588.84 | $741.31 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $588.84 Median $645.65 Typical High $741.31 | Professional | None | $588.84 | $645.65 | $741.31 |
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 $436.52 Median $501.19 Typical High $758.58 | Professional | None | $436.52 | $501.19 | $758.58 |
Select Health Setting Facility Modifier None Typical Low $380.19 Median $389.05 Typical High $3,801.89 | Facility | None | $380.19 | $389.05 | $3,801.89 |
Select Health Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $537.03 | Professional | None | $380.19 | $380.19 | $537.03 |
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 $389.05 Median $524.81 Typical High $758.58 | Professional | None | $389.05 | $524.81 | $758.58 |
20 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 $208.93 Median $257.04 Typical High $295.12 | Professional | 52 · Reduced service | $208.93 | $257.04 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $102.33 Typical High $120.23 | Professional | 53 · Discontinued | $83.18 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $389.05 Typical High $446.68 | Professional | 54 · Surgery only | $316.23 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $77.62 Typical High $89.13 | Professional | 55 · Aftercare only | $63.10 | $77.62 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $51.29 Typical High $60.26 | Professional | 56 · Pre-op care only | $41.69 | $51.29 | $60.26 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $363.08 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $295.12 | $363.08 | $416.87 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $537.03 Median $645.65 Typical High $851.14 | Professional | 54 · Surgery only | $537.03 | $645.65 | $851.14 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $72.44 Typical High $93.33 | Professional | 55 · Aftercare only | $60.26 | $72.44 | $93.33 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $676.08 Median $870.96 Typical High $1,096.48 | Professional | 63 · Small infant | $676.08 | $870.96 | $1,096.48 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $416.87 Median $512.86 Typical High $660.69 | Professional | 78 · Unplanned return to OR | $416.87 | $512.86 | $660.69 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $114.82 Typical High $144.54 | Professional | 80 · Assistant surgeon | $95.50 | $114.82 | $144.54 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $123.03 Typical High $144.54 | Professional | 81 · Minimal assistant surgeon | $97.72 | $123.03 | $144.54 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $89.13 Median $114.82 Typical High $151.36 | Professional | 82 · Assistant surgeon, no resident | $89.13 | $114.82 | $151.36 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $83.18 Median $102.33 Typical High $123.03 | Professional | AS · PA/NP assist | $83.18 | $102.33 | $123.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $208.93 Median $257.04 Typical High $295.12 | Professional | 52 · Reduced service | $208.93 | $257.04 | $295.12 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $102.33 Typical High $120.23 | Professional | 53 · Discontinued | $83.18 | $102.33 | $120.23 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $389.05 Typical High $446.68 | Professional | 54 · Surgery only | $316.23 | $389.05 | $446.68 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $77.62 Typical High $89.13 | Professional | 55 · Aftercare only | $63.10 | $77.62 | $89.13 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $51.29 Typical High $60.26 | Professional | 56 · Pre-op care only | $41.69 | $51.29 | $60.26 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $295.12 Median $363.08 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $295.12 | $363.08 | $416.87 |
Where Idaho sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 15th of 51
$617
AK $1,380UT $324
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.