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 $28.18 Median $33.11 Typical High $44.67 | Facility | None | $28.18 | $33.11 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $28.18 Typical High $31.62 | Professional | None | $21.38 | $28.18 | $31.62 |
BCBS Idaho Setting Facility Modifier None Typical Low $36.31 Median $53.70 Typical High $83.18 | Facility | None | $36.31 | $53.70 | $83.18 |
BCBS Idaho Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $35.48 | Professional | None | $31.62 | $33.88 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Moda Health Setting Facility Modifier None Typical Low $28.18 Median $34.67 Typical High $95.50 | Facility | None | $28.18 | $34.67 | $95.50 |
Moda Health Setting Professional Modifier None Typical Low $28.18 Median $28.84 Typical High $48.98 | Professional | None | $28.18 | $28.84 | $48.98 |
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 $33.11 Median $33.11 Typical High $47.86 | Facility | None | $33.11 | $33.11 | $47.86 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $6.92 Median $33.11 Typical High $43.65 | Professional | None | $6.92 | $33.11 | $43.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $43.65 Median $48.98 Typical High $70.79 | Facility | None | $43.65 | $48.98 | $70.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $43.65 | Professional | None | $31.62 | $31.62 | $43.65 |
Select Health Setting Facility Modifier None Typical Low $27.54 Median $28.18 Typical High $87.10 | Facility | None | $27.54 | $28.18 | $87.10 |
Select Health Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $54.95 | Professional | None | $27.54 | $30.90 | $54.95 |
United Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $33.11 | Professional | None | $28.18 | $31.62 | $33.11 |
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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $23.99 Median $38.90 Typical High $45.71 | Professional | 78 · Unplanned return to OR | $23.99 | $38.90 | $45.71 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $52.48 Median $81.28 Typical High $158.49 | Facility | GP · Physical therapy plan | $52.48 | $81.28 | $158.49 |
Moda Health Setting Professional Modifier CQ · PT assistant Typical Low $15.49 Median $15.49 Typical High $36.31 | Professional | CQ · PT assistant | $15.49 | $15.49 | $36.31 |
Moda Health Setting Professional Modifier GO · Occupational therapy plan Typical Low $31.62 Median $34.67 Typical High $36.31 | Professional | GO · Occupational therapy plan | $31.62 | $34.67 | $36.31 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $24.55 Median $34.67 Typical High $41.69 | Professional | GP · Physical therapy plan | $24.55 | $34.67 | $41.69 |
Where Idaho sits
The same service costs 3.5 times more in Minnesota than in Ohio. 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· 19th of 51
$31.62
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.