How much rates vary
Facilitymedian $229 · 10th to 90th $115 to $891Professionalmedian $229 · 10th to 90th $138 to $302
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 $1,412.54 Median $4,466.84 Typical High $7,079.46 | Facility | None | $1,412.54 | $4,466.84 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $257.04 Typical High $302.00 | Professional | None | $117.49 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $194.98 Typical High $229.09 | Professional | 54 · Surgery only | $104.71 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $181.97 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $97.72 | $181.97 | $213.80 |
BCBS Idaho Setting Facility Modifier None Typical Low $117.49 Median $295.12 Typical High $776.25 | Facility | None | $117.49 | $295.12 | $776.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $186.21 Median $234.42 Typical High $281.84 | Professional | None | $186.21 | $234.42 | $281.84 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $169.82 Median $218.78 Typical High $263.03 | Professional | 54 · Surgery only | $169.82 | $218.78 | $263.03 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $165.96 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $131.83 | $165.96 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $114.82 Typical High $154.88 | Facility | None | $102.33 | $114.82 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $190.55 | Professional | None | $131.83 | $162.18 | $190.55 |
Moda Health Setting Facility Modifier None Typical Low $123.03 Median $302.00 Typical High $5,495.41 | Facility | None | $123.03 | $302.00 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $141.25 Median $257.04 Typical High $302.00 | Professional | None | $141.25 | $257.04 | $302.00 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $194.98 Typical High $229.09 | Professional | 54 · Surgery only | $104.71 | $194.98 | $229.09 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $181.97 Typical High $213.80 | Professional | 78 · Unplanned return to OR | $97.72 | $181.97 | $213.80 |
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 $204.17 Median $204.17 Typical High $263.03 | Facility | None | $204.17 | $204.17 | $263.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $331.13 | Professional | None | $204.17 | $263.03 | $331.13 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $190.55 Typical High $223.87 | Professional | 54 · Surgery only | $190.55 | $190.55 | $223.87 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | 78 · Unplanned return to OR | $204.17 | $204.17 | $239.88 |
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 $229.09 Median $257.04 Typical High $302.00 | Professional | None | $229.09 | $257.04 | $302.00 |
Select Health Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $131.83 | Facility | None | $123.03 | $123.03 | $131.83 |
Select Health Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $165.96 | Professional | None | $104.71 | $123.03 | $165.96 |
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 $107.15 Median $154.88 Typical High $213.80 | Professional | None | $107.15 | $154.88 | $213.80 |
7 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 $18.62 Median $21.88 Typical High $27.54 | Professional | 55 · Aftercare only | $18.62 | $21.88 | $27.54 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $229.09 Median $288.40 Typical High $338.84 | Professional | 63 · Small infant | $229.09 | $288.40 | $338.84 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $38.90 Typical High $45.71 | Professional | 80 · Assistant surgeon | $30.90 | $38.90 | $45.71 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $38.90 Typical High $45.71 | Professional | 81 · Minimal assistant surgeon | $30.20 | $38.90 | $45.71 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $35.48 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $35.48 | $46.77 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $30.20 Typical High $39.81 | Professional | AS · PA/NP assist | $25.12 | $30.20 | $39.81 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | 56 · Pre-op care only | $26.92 | $26.92 | $31.62 |
Where Idaho sits
The same service costs 4.5 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· 5th of 51
$229
AK $468KY $105
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.