How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,514 to $9,120Professionalmedian $2,239 · 10th to 90th $1,318 to $2,951
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 $4,365.16 Median $4,466.84 Typical High $8,511.38 | Facility | None | $4,365.16 | $4,466.84 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $2,951.21 Typical High $2,951.21 | Professional | None | $1,659.59 | $2,951.21 | $2,951.21 |
BCBS Idaho Setting Facility Modifier None Typical Low $2,818.38 Median $4,466.84 Typical High $10,000.00 | Facility | None | $2,818.38 | $4,466.84 | $10,000.00 |
BCBS Idaho Setting Professional Modifier None Typical Low $2,137.96 Median $2,570.40 Typical High $3,311.31 | Professional | None | $2,137.96 | $2,570.40 | $3,311.31 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,691.53 Typical High $3,715.35 | Facility | None | $2,398.83 | $2,691.53 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,862.09 Typical High $2,089.30 | Professional | None | $954.99 | $1,862.09 | $2,089.30 |
Moda Health Setting Facility Modifier None Typical Low $1,258.93 Median $2,951.21 Typical High $5,495.41 | Facility | None | $1,258.93 | $2,951.21 | $5,495.41 |
Moda Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $2,951.21 | Professional | None | $1,513.56 | $2,238.72 | $2,951.21 |
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 $1,862.09 Median $2,290.87 Typical High $2,290.87 | Facility | None | $1,862.09 | $2,290.87 | $2,290.87 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,995.26 Median $2,290.87 Typical High $3,311.31 | Professional | None | $1,995.26 | $2,290.87 | $3,311.31 |
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 $2,238.72 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,238.72 | $2,691.53 | $2,691.53 |
Select Health Setting Facility Modifier None Typical Low $1,096.48 Median $1,122.02 Typical High $6,918.31 | Facility | None | $1,096.48 | $1,122.02 | $6,918.31 |
Select Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $2,818.38 | Professional | None | $1,096.48 | $1,698.24 | $2,818.38 |
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 $1,258.93 Median $1,698.24 Typical High $2,398.83 | Professional | None | $1,258.93 | $1,698.24 | $2,398.83 |
23 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 52 · Reduced service Typical Low $1,023.29 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,023.29 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $407.38 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $2,187.76 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,548.82 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $309.03 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $204.17 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $204.17 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,445.44 | $2,041.74 | $2,041.74 |
BCBS Idaho Setting Facility Modifier 50 · Both sides Typical Low $4,265.80 Median $6,309.57 Typical High $15,135.61 | Facility | 50 · Both sides | $4,265.80 | $6,309.57 | $15,135.61 |
BCBS Idaho Setting Professional Modifier 50 · Both sides Typical Low $3,090.30 Median $3,715.35 Typical High $5,011.87 | Professional | 50 · Both sides | $3,090.30 | $3,715.35 | $5,011.87 |
BCBS Idaho Setting Professional Modifier 54 · Surgery only Typical Low $1,862.09 Median $2,238.72 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,862.09 | $2,238.72 | $3,019.95 |
BCBS Idaho Setting Professional Modifier 55 · Aftercare only Typical Low $208.93 Median $245.47 Typical High $331.13 | Professional | 55 · Aftercare only | $208.93 | $245.47 | $331.13 |
BCBS Idaho Setting Professional Modifier 62 · Two surgeons Typical Low $1,288.25 Median $1,548.82 Typical High $2,089.30 | Professional | 62 · Two surgeons | $1,288.25 | $1,548.82 | $2,089.30 |
BCBS Idaho Setting Professional Modifier 63 · Small infant Typical Low $2,511.89 Median $2,951.21 Typical High $3,981.07 | Professional | 63 · Small infant | $2,511.89 | $2,951.21 | $3,981.07 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $1,737.80 Typical High $2,344.23 | Professional | 78 · Unplanned return to OR | $1,445.44 | $1,737.80 | $2,344.23 |
BCBS Idaho Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $398.11 Typical High $537.03 | Professional | 80 · Assistant surgeon | $331.13 | $398.11 | $537.03 |
BCBS Idaho Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $331.13 Median $398.11 Typical High $537.03 | Professional | 81 · Minimal assistant surgeon | $331.13 | $398.11 | $537.03 |
BCBS Idaho Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $331.13 Median $398.11 Typical High $537.03 | Professional | 82 · Assistant surgeon, no resident | $331.13 | $398.11 | $537.03 |
BCBS Idaho Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $338.84 Typical High $457.09 | Professional | AS · PA/NP assist | $281.84 | $338.84 | $457.09 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $1,047.13 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,047.13 | $1,445.44 | $1,445.44 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $416.87 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $1,548.82 Median $2,187.76 Typical High $2,187.76 | Professional | 54 · Surgery only | $1,548.82 | $2,187.76 | $2,187.76 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $309.03 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $309.03 | $436.52 | $436.52 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $208.93 Median $295.12 Typical High $295.12 | Professional | 56 · Pre-op care only | $208.93 | $295.12 | $295.12 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,445.44 Median $2,041.74 Typical High $2,041.74 | Professional | 78 · Unplanned return to OR | $1,445.44 | $2,041.74 | $2,041.74 |
Where Idaho sits
The same service costs 7.1 times more in Alaska than in Utah. 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· 14th of 51
$2,291
AK $5,370UT $759
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.