How much rates vary
Facilitymedian $145 · 10th to 90th $29 to $776Professionalmedian $76 · 10th to 90th $49 to $123
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 $85.11 Median $154.88 Typical High $7,079.46 | Facility | None | $85.11 | $154.88 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $85.11 Typical High $123.03 | Professional | None | $40.74 | $85.11 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $63.10 Typical High $91.20 | Professional | 54 · Surgery only | $30.90 | $63.10 | $91.20 |
BCBS Idaho Setting Facility Modifier None Typical Low $30.90 Median $275.42 Typical High $776.25 | Facility | None | $30.90 | $275.42 | $776.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $56.23 Median $85.11 Typical High $107.15 | Professional | None | $56.23 | $85.11 | $107.15 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $50.12 Median $58.88 Typical High $100.00 | Professional | 54 · Surgery only | $50.12 | $58.88 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $28.84 Typical High $38.90 | Facility | None | $25.70 | $28.84 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $77.62 | Professional | None | $48.98 | $58.88 | $77.62 |
Moda Health Setting Facility Modifier None Typical Low $24.55 Median $104.71 Typical High $4,466.84 | Facility | None | $24.55 | $104.71 | $4,466.84 |
Moda Health Setting Professional Modifier None Typical Low $50.12 Median $85.11 Typical High $123.03 | Professional | None | $50.12 | $85.11 | $123.03 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $63.10 Typical High $91.20 | Professional | 54 · Surgery only | $30.90 | $63.10 | $91.20 |
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 $60.26 Median $60.26 Typical High $97.72 | Facility | None | $60.26 | $60.26 | $97.72 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $123.03 | Professional | None | $60.26 | $85.11 | $123.03 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $58.88 Median $58.88 Typical High $87.10 | Professional | 54 · Surgery only | $58.88 | $58.88 | $87.10 |
Regence BlueShield Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $977.24 | Facility | None | $501.19 | $724.44 | $977.24 |
Regence BlueShield Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $120.23 | Professional | None | $66.07 | $83.18 | $120.23 |
Select Health Setting Facility Modifier None Typical Low $46.77 Median $47.86 Typical High $478.63 | Facility | None | $46.77 | $47.86 | $478.63 |
Select Health Setting Professional Modifier None Typical Low $26.30 Median $46.77 Typical High $64.57 | Professional | None | $26.30 | $46.77 | $64.57 |
United Setting Facility Modifier None Typical Low $144.54 Median $363.08 Typical High $501.19 | Facility | None | $144.54 | $363.08 | $501.19 |
United Setting Professional Modifier None Typical Low $38.02 Median $57.54 Typical High $91.20 | Professional | None | $38.02 | $57.54 | $91.20 |
12 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 Facility Modifier 50 · Both sides Typical Low $46.77 Median $398.11 Typical High $1,230.27 | Facility | 50 · Both sides | $46.77 | $398.11 | $1,230.27 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $85.11 Median $100.00 Typical High $151.36 | Professional | 50 · Both sides | $85.11 | $100.00 | $151.36 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $8.71 Typical High $10.72 | Professional | 55 · Aftercare only | $5.50 | $8.71 | $10.72 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $66.07 Median $91.20 Typical High $128.82 | Professional | 63 · Small infant | $66.07 | $91.20 | $128.82 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $39.81 Median $63.10 Typical High $74.13 | Professional | 78 · Unplanned return to OR | $39.81 | $63.10 | $74.13 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.91 Median $14.45 Typical High $17.78 | Professional | 80 · Assistant surgeon | $8.91 | $14.45 | $17.78 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.91 Median $10.47 Typical High $17.78 | Professional | 81 · Minimal assistant surgeon | $8.91 | $10.47 | $17.78 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.91 Median $10.47 Typical High $17.78 | Professional | 82 · Assistant surgeon, no resident | $8.91 | $10.47 | $17.78 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $7.59 Median $8.91 Typical High $13.49 | Professional | AS · PA/NP assist | $7.59 | $8.91 | $13.49 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $125.89 Median $125.89 Typical High $190.55 | Professional | 50 · Both sides | $125.89 | $125.89 | $190.55 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $8.51 Median $8.51 Typical High $12.59 | Professional | 56 · Pre-op care only | $8.51 | $8.51 | $12.59 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $63.10 Median $63.10 Typical High $93.33 | Professional | 78 · Unplanned return to OR | $63.10 | $63.10 | $93.33 |
Where Idaho sits
The same service costs 3.3 times more in Alaska 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.
Idaho· 7th of 51
$77.62
AK $135KY $40.74
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.