How much rates vary
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 $12.30 Median $18.20 Typical High $57.54 | Facility | None | $12.30 | $18.20 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $14.45 Typical High $15.85 | Professional | None | $7.76 | $14.45 | $15.85 |
BCBS Idaho Setting Facility Modifier None Typical Low $9.55 Median $28.18 Typical High $46.77 | Facility | None | $9.55 | $28.18 | $46.77 |
BCBS Idaho Setting Professional Modifier None Typical Low $6.61 Median $10.47 Typical High $11.48 | Professional | None | $6.61 | $10.47 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $16.22 Typical High $30.20 | Facility | None | $6.03 | $16.22 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $4.68 Median $5.75 Typical High $11.48 | Professional | None | $4.68 | $5.75 | $11.48 |
Moda Health Setting Facility Modifier None Typical Low $14.79 Median $53.70 Typical High $100.00 | Facility | None | $14.79 | $53.70 | $100.00 |
Moda Health Setting Professional Modifier None Typical Low $7.76 Median $9.33 Typical High $18.20 | Professional | None | $7.76 | $9.33 | $18.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $7.76 Median $11.75 Typical High $14.45 | Facility | None | $7.76 | $11.75 | $14.45 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $7.76 Median $12.88 Typical High $14.45 | Professional | None | $7.76 | $12.88 | $14.45 |
Regence BlueShield Setting Facility Modifier None Typical Low $11.75 Median $19.50 Typical High $28.84 | Facility | None | $11.75 | $19.50 | $28.84 |
Regence BlueShield Setting Professional Modifier None Typical Low $6.31 Median $6.61 Typical High $6.61 | Professional | None | $6.31 | $6.61 | $6.61 |
Select Health Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $35.48 | Facility | None | $7.76 | $7.76 | $35.48 |
Select Health Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $10.96 | Professional | None | $7.76 | $7.76 | $10.96 |
United Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $16.98 | Professional | None | $3.24 | $4.68 | $16.98 |
1 more rate 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 |
|---|---|---|---|---|---|
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $7.76 Median $8.13 Typical High $13.18 | Professional | QW · Waived lab test | $7.76 | $8.13 | $13.18 |
Where Idaho sits
The same service costs 13.5 times more in Minnesota than in North Carolina. 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· 9th of 51
$16.22
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.