How much rates vary
Facilitymedian $269 · 10th to 90th $110 to $2,884Professionalmedian $191 · 10th to 90th $91 to $269
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 $4,466.84 Median $4,466.84 Typical High $5,495.41 | Facility | None | $4,466.84 | $4,466.84 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $269.15 Typical High $288.40 | Professional | None | $194.98 | $269.15 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $204.17 Typical High $204.17 | Professional | 54 · Surgery only | $144.54 | $204.17 | $204.17 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
BCBS Idaho Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $251.19 | Professional | None | $91.20 | $107.15 | $251.19 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $91.20 Typical High $95.50 | Professional | 54 · Surgery only | $81.28 | $91.20 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $199.53 | Professional | None | $165.96 | $190.55 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $107.15 Median $269.15 Typical High $5,495.41 | Facility | None | $107.15 | $269.15 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $138.04 Median $269.15 Typical High $269.15 | Professional | None | $138.04 | $269.15 | $269.15 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $204.17 Typical High $204.17 | Professional | 54 · Surgery only | $144.54 | $204.17 | $204.17 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $158.49 Median $194.98 Typical High $194.98 | Facility | None | $158.49 | $194.98 | $194.98 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $169.82 Median $194.98 Typical High $194.98 | Professional | None | $169.82 | $194.98 | $194.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $109.65 | Facility | None | $107.15 | $107.15 | $109.65 |
Select Health Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
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 $117.49 Median $165.96 Typical High $229.09 | Professional | None | $117.49 | $165.96 | $229.09 |
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 $9.12 Median $10.23 Typical High $10.72 | Professional | 55 · Aftercare only | $9.12 | $10.23 | $10.72 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $109.65 Median $123.03 Typical High $128.82 | Professional | 63 · Small infant | $109.65 | $123.03 | $128.82 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $63.10 Median $70.79 Typical High $74.13 | Professional | 78 · Unplanned return to OR | $63.10 | $70.79 | $74.13 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.45 Median $16.22 Typical High $16.98 | Professional | 80 · Assistant surgeon | $14.45 | $16.22 | $16.98 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.45 Median $16.22 Typical High $16.98 | Professional | 81 · Minimal assistant surgeon | $14.45 | $16.22 | $16.98 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.45 Median $16.22 Typical High $16.98 | Professional | 82 · Assistant surgeon, no resident | $14.45 | $16.22 | $16.98 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $12.30 Median $13.80 Typical High $14.45 | Professional | AS · PA/NP assist | $12.30 | $13.80 | $14.45 |
Where Idaho sits
The same service costs 4.8 times more in Indiana 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· 23rd of 51
$191
IN $525FL $110
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.