How much rates vary
Facilitymedian $151 · 10th to 90th $95 to $240Professionalmedian $107 · 10th to 90th $59 to $148
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 $100.00 Median $112.20 Typical High $144.54 | Facility | None | $100.00 | $112.20 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $95.50 Typical High $95.50 | Professional | None | $87.10 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $47.86 | $47.86 | $47.86 |
BCBS Idaho Setting Facility Modifier None Typical Low $93.33 Median $151.36 Typical High $239.88 | Facility | None | $93.33 | $151.36 | $239.88 |
BCBS Idaho Setting Professional Modifier None Typical Low $107.15 Median $114.82 Typical High $120.23 | Professional | None | $107.15 | $114.82 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Moda Health Setting Facility Modifier None Typical Low $95.50 Median $112.20 Typical High $199.53 | Facility | None | $95.50 | $112.20 | $199.53 |
Moda Health Setting Professional Modifier None Typical Low $95.50 Median $97.72 Typical High $169.82 | Professional | None | $95.50 | $97.72 | $169.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $47.86 | $47.86 | $47.86 |
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 $112.20 Median $112.20 Typical High $162.18 | Facility | None | $112.20 | $112.20 | $162.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $23.44 Median $112.20 Typical High $147.91 | Professional | None | $23.44 | $112.20 | $147.91 |
Regence BlueShield Setting Facility Modifier None Typical Low $151.36 Median $158.49 Typical High $239.88 | Facility | None | $151.36 | $158.49 | $239.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | None | $107.15 | $107.15 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $93.33 Median $95.50 Typical High $251.19 | Facility | None | $93.33 | $95.50 | $251.19 |
Select Health Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $186.21 | Professional | None | $93.33 | $104.71 | $186.21 |
United Setting Professional Modifier None Typical Low $77.62 Median $87.10 Typical High $91.20 | Professional | None | $77.62 | $87.10 | $91.20 |
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 $81.28 Median $131.83 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $81.28 | $131.83 | $154.88 |
Moda Health Setting Facility Modifier GP · Physical therapy plan Typical Low $151.36 Median $234.42 Typical High $323.59 | Facility | GP · Physical therapy plan | $151.36 | $234.42 | $323.59 |
Moda Health Setting Professional Modifier 59 · Distinct service Typical Low $144.54 Median $144.54 Typical High $147.91 | Professional | 59 · Distinct service | $144.54 | $144.54 | $147.91 |
Moda Health Setting Professional Modifier GP · Physical therapy plan Typical Low $114.82 Median $144.54 Typical High $147.91 | Professional | GP · Physical therapy plan | $114.82 | $144.54 | $147.91 |
Where Idaho sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 12th of 51
$107
AK $200FL $60.26
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.