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 $32.36 Median $37.15 Typical High $46.77 | Facility | None | $32.36 | $37.15 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $30.90 Typical High $32.36 | Professional | None | $25.12 | $30.90 | $32.36 |
BCBS Idaho Setting Facility Modifier None Typical Low $38.90 Median $54.95 Typical High $89.13 | Facility | None | $38.90 | $54.95 | $89.13 |
BCBS Idaho Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $39.81 | Professional | None | $35.48 | $38.02 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Moda Health Setting Facility Modifier None Typical Low $30.90 Median $37.15 Typical High $46.77 | Facility | None | $30.90 | $37.15 | $46.77 |
Moda Health Setting Professional Modifier None Typical Low $30.90 Median $32.36 Typical High $56.23 | Professional | None | $30.90 | $32.36 | $56.23 |
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 $37.15 Median $37.15 Typical High $52.48 | Facility | None | $37.15 | $37.15 | $52.48 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $7.76 Median $37.15 Typical High $48.98 | Professional | None | $7.76 | $37.15 | $48.98 |
Regence BlueShield Setting Facility Modifier None Typical Low $48.98 Median $52.48 Typical High $77.62 | Facility | None | $48.98 | $52.48 | $77.62 |
Regence BlueShield Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $47.86 | Professional | None | $35.48 | $35.48 | $47.86 |
Select Health Setting Facility Modifier None Typical Low $30.90 Median $31.62 Typical High $100.00 | Facility | None | $30.90 | $31.62 | $100.00 |
Select Health Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $61.66 | Professional | None | $30.90 | $34.67 | $61.66 |
United Setting Professional Modifier None Typical Low $31.62 Median $34.67 Typical High $35.48 | Professional | None | $31.62 | $34.67 | $35.48 |
2 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 $26.30 Median $43.65 Typical High $51.29 | Professional | 78 · Unplanned return to OR | $26.30 | $43.65 | $51.29 |
Moda Health Setting Facility Modifier GO · Occupational therapy plan Typical Low $63.10 Median $81.28 Typical High $128.82 | Facility | GO · Occupational therapy plan | $63.10 | $81.28 | $128.82 |
Where Idaho sits
The same service costs 3.0 times more in Alaska 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· 17th of 51
$35.48
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.