How much rates vary
Facilitymedian $11,220 · 10th to 90th $1,380 to $30,903Professionalmedian $1,380 · 10th to 90th $912 to $1,820
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 $1,621.81 Median $4,466.84 Typical High $7,244.36 | Facility | None | $1,621.81 | $4,466.84 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $1,819.70 Typical High $1,819.70 | Professional | None | $933.25 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $707.95 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $660.69 | $1,258.93 | $1,258.93 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,778.28 Median $15,848.93 Typical High $35,481.34 | Facility | None | $1,778.28 | $15,848.93 | $35,481.34 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,288.25 Median $1,513.56 Typical High $1,548.82 | Professional | None | $1,288.25 | $1,513.56 | $1,548.82 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,148.15 Median $1,288.25 Typical High $1,412.54 | Professional | 54 · Surgery only | $1,148.15 | $1,288.25 | $1,412.54 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $891.25 Median $1,000.00 Typical High $1,096.48 | Professional | 78 · Unplanned return to OR | $891.25 | $1,000.00 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $10,471.29 Median $11,748.98 Typical High $15,848.93 | Facility | None | $10,471.29 | $11,748.98 | $15,848.93 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $1,023.29 Typical High $1,148.15 | Professional | None | $870.96 | $1,023.29 | $1,148.15 |
Moda Health Setting Facility Modifier None Typical Low $660.69 Median $1,819.70 Typical High $5,495.41 | Facility | None | $660.69 | $1,819.70 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $933.25 Median $1,778.28 Typical High $1,819.70 | Professional | None | $933.25 | $1,778.28 | $1,819.70 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $707.95 Median $1,348.96 Typical High $1,348.96 | Professional | 54 · Surgery only | $707.95 | $1,348.96 | $1,348.96 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $660.69 Median $1,258.93 Typical High $1,258.93 | Professional | 78 · Unplanned return to OR | $660.69 | $1,258.93 | $1,258.93 |
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 $1,122.02 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,122.02 | $1,380.38 | $1,380.38 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,862.09 | Professional | None | $1,380.38 | $1,380.38 | $1,862.09 |
Regence BlueShield Setting Facility Modifier None Typical Low $21,877.62 Median $30,902.95 Typical High $44,668.36 | Facility | None | $21,877.62 | $30,902.95 | $44,668.36 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $1,778.28 | Professional | None | $1,479.11 | $1,548.82 | $1,778.28 |
Select Health Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $724.44 | Facility | None | $660.69 | $660.69 | $724.44 |
Select Health Setting Professional Modifier None Typical Low $660.69 Median $758.58 Typical High $10,715.19 | Professional | None | $660.69 | $758.58 | $10,715.19 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,818.38 Typical High $4,265.80 | Facility | None | $1,288.25 | $2,818.38 | $4,265.80 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,096.48 Typical High $1,548.82 | Professional | None | $758.58 | $1,096.48 | $1,548.82 |
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 Facility Modifier 50 · Both sides Typical Low $2,691.53 Median $23,988.33 Typical High $53,703.18 | Facility | 50 · Both sides | $2,691.53 | $23,988.33 | $53,703.18 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $1,905.46 Median $2,137.96 Typical High $2,344.23 | Professional | 50 · Both sides | $1,905.46 | $2,137.96 | $2,344.23 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $141.25 Typical High $154.88 | Professional | 55 · Aftercare only | $128.82 | $141.25 | $154.88 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $794.33 Median $891.25 Typical High $977.24 | Professional | 62 · Two surgeons | $794.33 | $891.25 | $977.24 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $1,548.82 Median $1,698.24 Typical High $1,862.09 | Professional | 63 · Small infant | $1,548.82 | $1,698.24 | $1,862.09 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $229.09 Typical High $251.19 | Professional | 80 · Assistant surgeon | $204.17 | $229.09 | $251.19 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $204.17 Median $229.09 Typical High $251.19 | Professional | 81 · Minimal assistant surgeon | $204.17 | $229.09 | $251.19 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $204.17 Median $229.09 Typical High $251.19 | Professional | 82 · Assistant surgeon, no resident | $204.17 | $229.09 | $251.19 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $194.98 Typical High $208.93 | Professional | AS · PA/NP assist | $173.78 | $194.98 | $208.93 |
Where Idaho sits
The same service costs 8.8 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.
Physician feeFacility fee
AK $18,298KY $2,076
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.