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 $21.88 Median $25.12 Typical High $524.81 | Facility | None | $21.88 | $25.12 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $21.88 Typical High $26.92 | Professional | None | $17.78 | $21.88 | $26.92 |
BCBS Idaho Setting Facility Modifier None Typical Low $52.48 Median $91.20 Typical High $181.97 | Facility | None | $52.48 | $91.20 | $181.97 |
BCBS Idaho Setting Professional Modifier None Typical Low $22.91 Median $75.86 Typical High $239.88 | Professional | None | $22.91 | $75.86 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $28.18 | Professional | None | $20.42 | $25.70 | $28.18 |
Moda Health Setting Facility Modifier None Typical Low $25.12 Median $147.91 Typical High $323.59 | Facility | None | $25.12 | $147.91 | $323.59 |
Moda Health Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $58.88 | Professional | None | $17.78 | $25.12 | $58.88 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $25.12 Median $28.18 Typical High $28.18 | Facility | None | $25.12 | $28.18 | $28.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $75.86 | Professional | None | $28.18 | $28.18 | $75.86 |
Regence BlueShield Setting Facility Modifier None Typical Low $77.62 Median $112.20 Typical High $154.88 | Facility | None | $77.62 | $112.20 | $154.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Select Health Setting Facility Modifier None Typical Low $14.45 Median $14.79 Typical High $213.80 | Facility | None | $14.45 | $14.79 | $213.80 |
Select Health Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $18.62 | Professional | None | $14.45 | $14.45 | $18.62 |
United Setting Professional Modifier None Typical Low $17.38 Median $29.51 Typical High $38.02 | Professional | None | $17.38 | $29.51 | $38.02 |
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 XU · Unusual separate service Typical Low $93.33 Median $229.09 Typical High $288.40 | Facility | XU · Unusual separate service | $93.33 | $229.09 | $288.40 |
Where Idaho sits
The same service costs 8.5 times more in Vermont than in Maryland. 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· 13th of 51
$43.65
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.