How much rates vary
Facilitymedian $5,754 · 10th to 90th $1,230 to $15,488Professionalmedian $1,096 · 10th to 90th $631 to $2,138
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 $1,318.26 Median $2,630.27 Typical High $5,495.41 | Facility | None | $1,318.26 | $2,630.27 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $1,096.48 Typical High $2,187.76 | Professional | None | $562.34 | $1,096.48 | $2,187.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $831.76 Typical High $1,659.59 | Professional | 54 · Surgery only | $426.58 | $831.76 | $1,659.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $776.25 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $398.11 | $776.25 | $1,548.82 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,754.23 Median $7,244.36 Typical High $18,620.87 | Facility | None | $2,754.23 | $7,244.36 | $18,620.87 |
BCBS Idaho Setting Professional Modifier None Typical Low $758.58 Median $1,412.54 Typical High $1,995.26 | Professional | None | $758.58 | $1,412.54 | $1,995.26 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $741.31 Median $1,412.54 Typical High $1,862.09 | Professional | 54 · Surgery only | $741.31 | $1,412.54 | $1,862.09 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $512.86 Median $602.56 Typical High $1,380.38 | Professional | 78 · Unplanned return to OR | $512.86 | $602.56 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $6,309.57 Typical High $8,511.38 | Facility | None | $5,623.41 | $6,309.57 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $1,412.54 | Professional | None | $630.96 | $831.76 | $1,412.54 |
Moda Health Setting Facility Modifier None Typical Low $891.25 Median $1,412.54 Typical High $4,466.84 | Facility | None | $891.25 | $1,412.54 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $676.08 Median $1,096.48 Typical High $2,187.76 | Professional | None | $676.08 | $1,096.48 | $2,187.76 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $831.76 Typical High $1,659.59 | Professional | 54 · Surgery only | $426.58 | $831.76 | $1,659.59 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $776.25 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $398.11 | $776.25 | $1,548.82 |
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 $794.33 Median $794.33 Typical High $1,862.09 | Facility | None | $794.33 | $794.33 | $1,862.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $794.33 Median $1,122.02 Typical High $2,344.23 | Professional | None | $794.33 | $1,122.02 | $2,344.23 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $776.25 Median $776.25 Typical High $1,548.82 | Professional | 54 · Surgery only | $776.25 | $776.25 | $1,548.82 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $831.76 Median $831.76 Typical High $1,659.59 | Professional | 78 · Unplanned return to OR | $831.76 | $831.76 | $1,659.59 |
Regence BlueShield Setting Facility Modifier None Typical Low $12,022.64 Median $16,982.44 Typical High $22,387.21 | Facility | None | $12,022.64 | $16,982.44 | $22,387.21 |
Regence BlueShield Setting Professional Modifier None Typical Low $912.01 Median $1,258.93 Typical High $2,137.96 | Professional | None | $912.01 | $1,258.93 | $2,137.96 |
Select Health Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $912.01 | Facility | None | $891.25 | $891.25 | $912.01 |
Select Health Setting Professional Modifier None Typical Low $457.09 Median $891.25 Typical High $5,754.40 | Professional | None | $457.09 | $891.25 | $5,754.40 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $3,388.44 Typical High $6,025.60 | Facility | None | $1,288.25 | $3,388.44 | $6,025.60 |
United Setting Professional Modifier None Typical Low $489.78 Median $912.01 Typical High $1,621.81 | Professional | None | $489.78 | $912.01 | $1,621.81 |
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 55 · Aftercare only Typical Low $75.86 Median $165.96 Typical High $194.98 | Professional | 55 · Aftercare only | $75.86 | $165.96 | $194.98 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $457.09 Median $562.34 Typical High $1,258.93 | Professional | 62 · Two surgeons | $457.09 | $562.34 | $1,258.93 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $891.25 Median $2,041.74 Typical High $2,398.83 | Professional | 63 · Small infant | $891.25 | $2,041.74 | $2,398.83 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $269.15 Typical High $331.13 | Professional | 80 · Assistant surgeon | $117.49 | $269.15 | $331.13 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $117.49 Median $144.54 Typical High $316.23 | Professional | 81 · Minimal assistant surgeon | $117.49 | $144.54 | $316.23 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $117.49 Median $138.04 Typical High $302.00 | Professional | 82 · Assistant surgeon, no resident | $117.49 | $138.04 | $302.00 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $117.49 Typical High $275.42 | Professional | AS · PA/NP assist | $100.00 | $117.49 | $275.42 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $112.20 Typical High $223.87 | Professional | 56 · Pre-op care only | $112.20 | $112.20 | $223.87 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $691.83 Median $691.83 Typical High $1,380.38 | Professional | 62 · Two surgeons | $691.83 | $691.83 | $1,380.38 |
Where Idaho sits
The same service costs 8.6 times more in Colorado than in Kentucky. 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
CO $14,248KY $1,661
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.