How much rates vary
Facilitymedian $186 · 10th to 90th $59 to $776Professionalmedian $141 · 10th to 90th $95 to $219
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 $199.53 Median $1,412.54 Typical High $7,079.46 | Facility | None | $199.53 | $1,412.54 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $165.96 Typical High $223.87 | Professional | None | $83.18 | $165.96 | $223.87 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $123.03 Typical High $165.96 | Professional | 54 · Surgery only | $61.66 | $123.03 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $57.54 Median $114.82 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $57.54 | $114.82 | $154.88 |
BCBS Idaho Setting Facility Modifier None Typical Low $64.57 Median $251.19 Typical High $776.25 | Facility | None | $64.57 | $251.19 | $776.25 |
BCBS Idaho Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $194.98 | Professional | None | $114.82 | $154.88 | $194.98 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $102.33 Median $120.23 Typical High $169.82 | Professional | 54 · Surgery only | $102.33 | $120.23 | $169.82 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $95.50 Typical High $134.90 | Professional | 78 · Unplanned return to OR | $79.43 | $95.50 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $58.88 Typical High $79.43 | Facility | None | $51.29 | $58.88 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $141.25 | Professional | None | $93.33 | $107.15 | $141.25 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $223.87 Typical High $5,495.41 | Facility | None | $83.18 | $223.87 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $102.33 Median $165.96 Typical High $223.87 | Professional | None | $102.33 | $165.96 | $223.87 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $123.03 Typical High $165.96 | Professional | 54 · Surgery only | $61.66 | $123.03 | $165.96 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $57.54 Median $114.82 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $57.54 | $114.82 | $154.88 |
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 $123.03 Median $123.03 Typical High $177.83 | Facility | None | $123.03 | $123.03 | $177.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $223.87 | Professional | None | $123.03 | $169.82 | $223.87 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | 54 · Surgery only | $117.49 | $117.49 | $158.49 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | 78 · Unplanned return to OR | $125.89 | $125.89 | $169.82 |
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 $134.90 Median $162.18 Typical High $218.78 | Professional | None | $134.90 | $162.18 | $218.78 |
Select Health Setting Facility Modifier None Typical Low $85.11 Median $87.10 Typical High $616.60 | Facility | None | $85.11 | $87.10 | $616.60 |
Select Health Setting Professional Modifier None Typical Low $53.70 Median $85.11 Typical High $117.49 | Professional | None | $53.70 | $85.11 | $117.49 |
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 $74.13 Median $107.15 Typical High $162.18 | Professional | None | $74.13 | $107.15 | $162.18 |
10 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 $95.50 Median $380.19 Typical High $1,148.15 | Facility | 50 · Both sides | $95.50 | $380.19 | $1,148.15 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $169.82 Median $251.19 Typical High $288.40 | Professional | 50 · Both sides | $169.82 | $251.19 | $288.40 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $13.80 Typical High $19.50 | Professional | 55 · Aftercare only | $11.48 | $13.80 | $19.50 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $138.04 Median $162.18 Typical High $218.78 | Professional | 63 · Small infant | $138.04 | $162.18 | $218.78 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.20 Median $26.30 Typical High $31.62 | Professional | 80 · Assistant surgeon | $18.20 | $26.30 | $31.62 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $21.38 Typical High $30.20 | Professional | 81 · Minimal assistant surgeon | $18.20 | $21.38 | $30.20 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.62 Median $21.88 Typical High $31.62 | Professional | 82 · Assistant surgeon, no resident | $18.62 | $21.88 | $31.62 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $18.62 Typical High $26.30 | Professional | AS · PA/NP assist | $15.85 | $18.62 | $26.30 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $251.19 Median $251.19 Typical High $338.84 | Professional | 50 · Both sides | $251.19 | $251.19 | $338.84 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $16.98 Typical High $22.91 | Professional | 56 · Pre-op care only | $16.98 | $16.98 | $22.91 |
Where Idaho sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 8th of 51
$141
AK $269FL $69.18
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.