How much rates vary
Facilitymedian $1,122 · 10th to 90th $550 to $6,026Professionalmedian $2,344 · 10th to 90th $1,514 to $3,236
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 $1,621.81 Median $3,235.94 Typical High $3,235.94 | Professional | None | $1,621.81 | $3,235.94 | $3,235.94 |
BCBS Idaho Setting Facility Modifier None Typical Low $3,715.35 Median $5,011.87 Typical High $6,456.54 | Facility | None | $3,715.35 | $5,011.87 | $6,456.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,137.96 Median $2,511.89 Typical High $2,754.23 | Professional | None | $2,137.96 | $2,511.89 | $2,754.23 |
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 $1,621.81 Median $1,905.46 Typical High $2,238.72 | Professional | None | $1,621.81 | $1,905.46 | $2,238.72 |
Moda Health Setting Facility Modifier None Typical Low $1,122.02 Median $3,235.94 Typical High $5,495.41 | Facility | None | $1,122.02 | $3,235.94 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $3,235.94 | Professional | None | $1,659.59 | $2,511.89 | $3,235.94 |
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 $1,905.46 Median $2,344.23 Typical High $2,344.23 | Facility | None | $1,905.46 | $2,344.23 | $2,344.23 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,951.21 | Professional | None | $2,344.23 | $2,344.23 | $2,951.21 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,290.87 Median $2,754.23 Typical High $3,162.28 | Professional | None | $2,290.87 | $2,754.23 | $3,162.28 |
Select Health Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Facility | None | $1,122.02 | $1,122.02 | $1,202.26 |
Select Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,659.59 | Professional | None | $1,122.02 | $1,122.02 | $1,659.59 |
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 $1,318.26 Median $1,819.70 Typical High $2,818.38 | Professional | None | $1,318.26 | $1,819.70 | $2,818.38 |
9 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 $1,905.46 Median $2,238.72 Typical High $2,344.23 | Professional | 54 · Surgery only | $1,905.46 | $2,238.72 | $2,344.23 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $245.47 Typical High $263.03 | Professional | 55 · Aftercare only | $208.93 | $245.47 | $263.03 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,318.26 Median $1,548.82 Typical High $1,621.81 | Professional | 62 · Two surgeons | $1,318.26 | $1,548.82 | $1,621.81 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,511.89 Median $2,951.21 Typical High $3,162.28 | Professional | 63 · Small infant | $2,511.89 | $2,951.21 | $3,162.28 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,479.11 Median $1,737.80 Typical High $1,819.70 | Professional | 78 · Unplanned return to OR | $1,479.11 | $1,737.80 | $1,819.70 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $398.11 Typical High $416.87 | Professional | 80 · Assistant surgeon | $331.13 | $398.11 | $416.87 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $331.13 Median $398.11 Typical High $416.87 | Professional | 81 · Minimal assistant surgeon | $331.13 | $398.11 | $416.87 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $331.13 Median $398.11 Typical High $416.87 | Professional | 82 · Assistant surgeon, no resident | $331.13 | $398.11 | $416.87 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $338.84 Typical High $354.81 | Professional | AS · PA/NP assist | $281.84 | $338.84 | $354.81 |
Where Idaho sits
The same service costs 16.9 times more in Maine than in Maryland. 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 $34,221MD $2,029
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.