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 $30.20 Median $37.15 Typical High $38.90 | Facility | None | $30.20 | $37.15 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $32.36 Typical High $38.02 | Professional | None | $12.30 | $32.36 | $38.02 |
BCBS Idaho Setting Facility Modifier None Typical Low $16.60 Median $41.69 Typical High $67.61 | Facility | None | $16.60 | $41.69 | $67.61 |
BCBS Idaho Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $17.38 | Professional | None | $14.13 | $16.60 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $34.67 Typical High $64.57 | Facility | None | $12.88 | $34.67 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $12.30 Typical High $23.99 | Professional | None | $7.24 | $12.30 | $23.99 |
Moda Health Setting Facility Modifier None Typical Low $15.49 Median $32.36 Typical High $95.50 | Facility | None | $15.49 | $32.36 | $95.50 |
Moda Health Setting Professional Modifier None Typical Low $15.49 Median $19.95 Typical High $38.02 | Professional | None | $15.49 | $19.95 | $38.02 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $16.60 Median $17.38 Typical High $25.12 | Professional | QW · Waived lab test | $16.60 | $17.38 | $25.12 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $16.60 Median $24.55 Typical High $31.62 | Facility | None | $16.60 | $24.55 | $31.62 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $16.60 Median $28.18 Typical High $31.62 | Professional | None | $16.60 | $28.18 | $31.62 |
Regence BlueShield Setting Facility Modifier None Typical Low $24.55 Median $37.15 Typical High $60.26 | Facility | None | $24.55 | $37.15 | $60.26 |
Regence BlueShield Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $14.13 | Professional | None | $13.49 | $14.13 | $14.13 |
Select Health Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $34.67 | Facility | None | $16.60 | $16.60 | $34.67 |
Select Health Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $23.44 | Professional | None | $16.60 | $16.60 | $23.44 |
United Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
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 Facility Modifier 59 · Distinct service Typical Low $29.51 Median $95.50 Typical High $114.82 | Facility | 59 · Distinct service | $29.51 | $95.50 | $114.82 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 3rd of 51
$25.12
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.