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 Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $14.13 | Professional | None | $11.48 | $11.48 | $14.13 |
BCBS Idaho Setting Facility Modifier None Typical Low $56.23 Median $162.18 Typical High $269.15 | Facility | None | $56.23 | $162.18 | $269.15 |
BCBS Idaho Setting Professional Modifier None Typical Low $15.85 Median $20.89 Typical High $21.88 | Professional | None | $15.85 | $20.89 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $13.18 Typical High $41.69 | Professional | None | $10.00 | $13.18 | $41.69 |
Moda Health Setting Facility Modifier None Typical Low $11.22 Median $11.48 Typical High $14.13 | Facility | None | $11.22 | $11.48 | $14.13 |
Moda Health Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $14.13 | Professional | None | $11.48 | $11.48 | $14.13 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $23.44 Median $38.02 Typical High $54.95 | Facility | None | $23.44 | $38.02 | $54.95 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $50.12 | Professional | None | $23.44 | $23.44 | $50.12 |
Regence BlueShield Setting Facility Modifier None Typical Low $144.54 Median $208.93 Typical High $288.40 | Facility | None | $144.54 | $208.93 | $288.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Select Health Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Facility | None | $154.88 | $154.88 | $213.80 |
Select Health Setting Professional Modifier None Typical Low $15.85 Median $21.88 Typical High $37.15 | Professional | None | $15.85 | $21.88 | $37.15 |
United Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $64.57 | Professional | None | $33.88 | $44.67 | $64.57 |
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 $12.30 Median $12.30 Typical High $15.49 | Professional | 78 · Unplanned return to OR | $12.30 | $12.30 | $15.49 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier HO · Master's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HO · Master's level | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier HP · Doctoral level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HP · Doctoral level | $16.60 | $16.60 | $16.60 |
Where Idaho sits
The same service costs 4.5 times more in Wyoming than in West 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· 22nd of 51
$15.85
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.