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 $15.49 Median $16.22 Typical High $20.89 | Facility | None | $15.49 | $16.22 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $15.49 | Professional | None | $12.88 | $13.49 | $15.49 |
BCBS Idaho Setting Facility Modifier None Typical Low $15.85 Median $22.39 Typical High $37.15 | Facility | None | $15.85 | $22.39 | $37.15 |
BCBS Idaho Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $17.38 | Professional | None | $15.14 | $16.60 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
Moda Health Setting Facility Modifier None Typical Low $13.49 Median $16.22 Typical High $20.89 | Facility | None | $13.49 | $16.22 | $20.89 |
Moda Health Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $24.55 | Professional | None | $13.49 | $13.80 | $24.55 |
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 $16.22 Median $16.22 Typical High $23.44 | Facility | None | $16.22 | $16.22 | $23.44 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $3.39 Median $16.22 Typical High $21.38 | Professional | None | $3.39 | $16.22 | $21.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $20.89 Median $22.39 Typical High $33.88 | Facility | None | $20.89 | $22.39 | $33.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $20.89 | Professional | None | $15.14 | $15.14 | $20.89 |
Select Health Setting Facility Modifier None Typical Low $13.49 Median $13.80 Typical High $37.15 | Facility | None | $13.49 | $13.80 | $37.15 |
Select Health Setting Professional Modifier None Typical Low $13.49 Median $14.79 Typical High $26.30 | Professional | None | $13.49 | $14.79 | $26.30 |
United Setting Professional Modifier None Typical Low $12.30 Median $13.18 Typical High $14.79 | Professional | None | $12.30 | $13.18 | $14.79 |
3 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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $11.22 Median $19.05 Typical High $22.39 | Professional | 78 · Unplanned return to OR | $11.22 | $19.05 | $22.39 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $21.38 Median $57.54 Typical High $74.13 | Facility | GP · Physical therapy plan | $21.38 | $57.54 | $74.13 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | GP · Physical therapy plan | $15.49 | $15.85 | $15.85 |
Where Idaho sits
The same service costs 3.2 times more in Alaska than in Virginia. 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· 18th of 51
$15.14
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.