How much rates vary
Facilitymedian $2,239 · 10th to 90th $933 to $9,120Professionalmedian $316 · 10th to 90th $209 to $447
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 $281.84 Median $407.38 Typical High $501.19 | Professional | None | $281.84 | $407.38 | $501.19 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,148.15 Median $2,454.71 Typical High $10,000.00 | Facility | None | $1,148.15 | $2,454.71 | $10,000.00 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $1,698.24 Median $3,715.35 Typical High $15,135.61 | Facility | 50 · Both sides | $1,698.24 | $3,715.35 | $15,135.61 |
BCBS Idaho Setting Professional Modifier None Typical Low $295.12 Median $354.81 Typical High $478.63 | Professional | None | $295.12 | $354.81 | $478.63 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $446.68 Median $524.81 Typical High $707.95 | Professional | 50 · Both sides | $446.68 | $524.81 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,137.96 Typical High $2,884.03 | Facility | None | $1,905.46 | $2,137.96 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $263.03 Typical High $302.00 | Professional | None | $154.88 | $263.03 | $302.00 |
Moda Health Setting Facility Modifier None Typical Low $151.36 Median $407.38 Typical High $5,495.41 | Facility | None | $151.36 | $407.38 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $263.03 Median $316.23 Typical High $407.38 | Professional | None | $263.03 | $316.23 | $407.38 |
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 $263.03 Median $316.23 Typical High $316.23 | Facility | None | $263.03 | $316.23 | $316.23 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $275.42 Median $316.23 Typical High $478.63 | Professional | None | $275.42 | $316.23 | $478.63 |
Regence BlueShield Setting Facility Modifier None Typical Low $6,456.54 Median $9,120.11 Typical High $12,589.25 | Facility | None | $6,456.54 | $9,120.11 | $12,589.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $316.23 Median $380.19 Typical High $380.19 | Professional | None | $316.23 | $380.19 | $380.19 |
Select Health Setting Facility Modifier None Typical Low $151.36 Median $154.88 Typical High $4,168.69 | Facility | None | $151.36 | $154.88 | $4,168.69 |
Select Health Setting Professional Modifier None Typical Low $151.36 Median $245.47 Typical High $2,238.72 | Professional | None | $151.36 | $245.47 | $2,238.72 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,412.54 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $389.05 | Professional | None | $208.93 | $275.42 | $389.05 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $309.03 Typical High $309.03 | Professional | 54 · Surgery only | $213.80 | $309.03 | $309.03 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $257.04 Median $309.03 Typical High $426.58 | Professional | 54 · Surgery only | $257.04 | $309.03 | $426.58 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $33.88 Typical High $47.86 | Professional | 55 · Aftercare only | $28.84 | $33.88 | $47.86 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $346.74 Median $407.38 Typical High $575.44 | Professional | 63 · Small infant | $346.74 | $407.38 | $575.44 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $239.88 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $199.53 | $239.88 | $331.13 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $54.95 Typical High $75.86 | Professional | 80 · Assistant surgeon | $45.71 | $54.95 | $75.86 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $54.95 Typical High $75.86 | Professional | 81 · Minimal assistant surgeon | $45.71 | $54.95 | $75.86 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $54.95 Typical High $75.86 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $54.95 | $75.86 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $38.90 Median $46.77 Typical High $64.57 | Professional | AS · PA/NP assist | $38.90 | $46.77 | $64.57 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $309.03 Typical High $309.03 | Professional | 54 · Surgery only | $218.78 | $309.03 | $309.03 |
Where Idaho sits
The same service costs 11.2 times more in Colorado than in Montana. 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
CO $6,406MT $571
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.