How much rates vary
Facilitymedian $166 · 10th to 90th $126 to $380Professionalmedian $138 · 10th to 90th $102 to $195
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 $131.83 Median $147.91 Typical High $186.21 | Facility | None | $131.83 | $147.91 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | None | $117.49 | $125.89 | $125.89 |
BCBS Idaho Setting Facility Modifier None Typical Low $138.04 Median $208.93 Typical High $398.11 | Facility | None | $138.04 | $208.93 | $398.11 |
BCBS Idaho Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $204.17 | Professional | None | $117.49 | $169.82 | $204.17 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $131.83 Typical High $144.54 | Professional | 78 · Unplanned return to OR | $81.28 | $131.83 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $158.49 | Professional | None | $104.71 | $144.54 | $158.49 |
Hally Health Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $398.11 | Professional | None | $239.88 | $239.88 | $398.11 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $147.91 Typical High $177.83 | Facility | None | $125.89 | $147.91 | $177.83 |
Moda Health Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $158.49 | Professional | None | $125.89 | $125.89 | $158.49 |
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 $147.91 Median $162.18 Typical High $162.18 | Facility | None | $147.91 | $162.18 | $162.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $117.49 Median $162.18 Typical High $162.18 | Professional | None | $117.49 | $162.18 | $162.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $138.04 Median $147.91 Typical High $218.78 | Facility | None | $138.04 | $147.91 | $218.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $173.78 | Professional | None | $125.89 | $138.04 | $173.78 |
Select Health Setting Facility Modifier None Typical Low $87.10 Median $89.13 Typical High $295.12 | Facility | None | $87.10 | $89.13 | $295.12 |
Select Health Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $169.82 | Professional | None | $87.10 | $125.89 | $169.82 |
United Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $177.83 | Professional | None | $95.50 | $128.82 | $177.83 |
5 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 $58.88 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $58.88 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $23.44 | $25.12 | $25.12 |
Moda Health Setting Facility Modifier GN · Speech therapy plan Typical Low $173.78 Median $354.81 Typical High $537.03 | Facility | GN · Speech therapy plan | $173.78 | $354.81 | $537.03 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $58.88 | $63.10 | $63.10 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $23.44 | $25.12 | $25.12 |
Where Idaho sits
The same service costs 3.8 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· 17th of 51
$141
AK $245UT $64.57
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.