How much rates vary
Facilitymedian $692 · 10th to 90th $363 to $1,862Professionalmedian $363 · 10th to 90th $240 to $501
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 $204.17 Median $295.12 Typical High $501.19 | Professional | None | $204.17 | $295.12 | $501.19 |
BCBS Idaho Setting Facility Modifier None Typical Low $758.58 Median $1,000.00 Typical High $5,248.07 | Facility | None | $758.58 | $1,000.00 | $5,248.07 |
BCBS Idaho Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $436.52 | Professional | None | $331.13 | $389.05 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $354.81 | Professional | None | $257.04 | $309.03 | $354.81 |
Moda Health Setting Facility Modifier None Typical Low $173.78 Median $501.19 Typical High $707.95 | Facility | None | $173.78 | $501.19 | $707.95 |
Moda Health Setting Professional Modifier None Typical Low $263.03 Median $398.11 Typical High $501.19 | Professional | None | $263.03 | $398.11 | $501.19 |
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 $295.12 Median $363.08 Typical High $363.08 | Facility | None | $295.12 | $363.08 | $363.08 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $457.09 | Professional | None | $363.08 | $363.08 | $457.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $489.78 | Professional | None | $380.19 | $436.52 | $489.78 |
Select Health Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $1,096.48 | Facility | None | $173.78 | $173.78 | $1,096.48 |
Select Health Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $263.03 | Professional | None | $173.78 | $173.78 | $263.03 |
United Setting Facility Modifier None Typical Low $549.54 Median $676.08 Typical High $954.99 | Facility | None | $549.54 | $676.08 | $954.99 |
United Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $467.74 | Professional | None | $218.78 | $316.23 | $467.74 |
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 $295.12 Median $346.74 Typical High $363.08 | Professional | 54 · Surgery only | $295.12 | $346.74 | $363.08 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $38.02 Typical High $40.74 | Professional | 55 · Aftercare only | $32.36 | $38.02 | $40.74 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $389.05 Median $457.09 Typical High $489.78 | Professional | 63 · Small infant | $389.05 | $457.09 | $489.78 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $229.09 Median $269.15 Typical High $281.84 | Professional | 78 · Unplanned return to OR | $229.09 | $269.15 | $281.84 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $61.66 Typical High $64.57 | Professional | 80 · Assistant surgeon | $51.29 | $61.66 | $64.57 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $51.29 Median $61.66 Typical High $64.57 | Professional | 81 · Minimal assistant surgeon | $51.29 | $61.66 | $64.57 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $51.29 Median $61.66 Typical High $64.57 | Professional | 82 · Assistant surgeon, no resident | $51.29 | $61.66 | $64.57 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $52.48 Typical High $54.95 | Professional | AS · PA/NP assist | $43.65 | $52.48 | $54.95 |
Where Idaho sits
The same service costs 13.2 times more in Alabama than in Montana. 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
AL $9,026MT $686
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.