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 $114.82 Median $114.82 Typical High $154.88 | Facility | None | $114.82 | $114.82 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | None | $89.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $45.71 | $47.86 | $47.86 |
BCBS Idaho Setting Facility Modifier None Typical Low $102.33 Median $151.36 Typical High $234.42 | Facility | None | $102.33 | $151.36 | $234.42 |
BCBS Idaho Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $123.03 | Professional | None | $109.65 | $117.49 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
Moda Health Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $251.19 | Facility | None | $95.50 | $114.82 | $251.19 |
Moda Health Setting Professional Modifier None Typical Low $93.33 Median $97.72 Typical High $169.82 | Professional | None | $93.33 | $97.72 | $169.82 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $45.71 | $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 $114.82 Median $114.82 Typical High $165.96 | Facility | None | $114.82 | $114.82 | $165.96 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $23.99 Median $114.82 Typical High $151.36 | Professional | None | $23.99 | $114.82 | $151.36 |
Regence BlueShield Setting Facility Modifier None Typical Low $151.36 Median $162.18 Typical High $245.47 | Facility | None | $151.36 | $162.18 | $245.47 |
Regence BlueShield Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $147.91 | Professional | None | $109.65 | $109.65 | $147.91 |
Select Health Setting Facility Modifier None Typical Low $95.50 Median $97.72 Typical High $234.42 | Facility | None | $95.50 | $97.72 | $234.42 |
Select Health Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $190.55 | Professional | None | $95.50 | $107.15 | $190.55 |
United Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $93.33 | Professional | None | $75.86 | $91.20 | $93.33 |
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 $81.28 Median $134.90 Typical High $158.49 | Professional | 78 · Unplanned return to OR | $81.28 | $134.90 | $158.49 |
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $165.96 Median $239.88 Typical High $346.74 | Facility | GO · Occupational therapy plan | $165.96 | $239.88 | $346.74 |
Moda Health Setting Professional Modifier GO · Occupational therapy plan Typical Low $128.82 Median $144.54 Typical High $147.91 | Professional | GO · Occupational therapy plan | $128.82 | $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· 13th of 51
$110
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.