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 $25.70 Median $30.90 Typical High $40.74 | Facility | None | $25.70 | $30.90 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $34.67 | Professional | None | $21.38 | $25.70 | $34.67 |
BCBS Idaho Setting Facility Modifier None Typical Low $33.88 Median $50.12 Typical High $69.18 | Facility | None | $33.88 | $50.12 | $69.18 |
BCBS Idaho Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $33.88 | Professional | None | $28.84 | $32.36 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Moda Health Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $40.74 | Facility | None | $25.70 | $30.90 | $40.74 |
Moda Health Setting Professional Modifier None Typical Low $25.70 Median $26.30 Typical High $45.71 | Professional | None | $25.70 | $26.30 | $45.71 |
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 $31.62 Median $31.62 Typical High $45.71 | Facility | None | $31.62 | $31.62 | $45.71 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $6.61 Median $30.90 Typical High $41.69 | Professional | None | $6.61 | $30.90 | $41.69 |
Regence BlueShield Setting Facility Modifier None Typical Low $40.74 Median $45.71 Typical High $64.57 | Facility | None | $40.74 | $45.71 | $64.57 |
Regence BlueShield Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $39.81 | Professional | None | $28.84 | $28.84 | $39.81 |
Select Health Setting Facility Modifier None Typical Low $26.30 Median $26.92 Typical High $77.62 | Facility | None | $26.30 | $26.92 | $77.62 |
Select Health Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $52.48 | Professional | None | $26.30 | $29.51 | $52.48 |
United Setting Professional Modifier None Typical Low $25.70 Median $28.84 Typical High $30.20 | Professional | None | $25.70 | $28.84 | $30.20 |
4 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 $21.88 Median $37.15 Typical High $43.65 | Professional | 78 · Unplanned return to OR | $21.88 | $37.15 | $43.65 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $48.98 Median $77.62 Typical High $93.33 | Facility | GP · Physical therapy plan | $48.98 | $77.62 | $93.33 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $16.60 Median $19.95 Typical High $36.31 | Professional | 59 · Distinct service | $16.60 | $19.95 | $36.31 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $15.49 Median $31.62 Typical High $39.81 | Professional | GP · Physical therapy plan | $15.49 | $31.62 | $39.81 |
Where Idaho sits
The same service costs 3.0 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
$28.84
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.