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 $0.03 Median $0.08 Typical High $0.08 | Professional | None | $0.03 | $0.08 | $0.08 |
BCBS Idaho Setting Facility Modifier None Typical Low $0.04 Median $0.06 Typical High $0.08 | Facility | None | $0.04 | $0.06 | $0.08 |
BCBS Idaho Setting Professional Modifier None Typical Low $0.04 Median $0.06 Typical High $0.06 | Professional | None | $0.04 | $0.06 | $0.06 |
Cigna Setting Facility Modifier None Typical Low $0.03 Median $0.03 Typical High $0.03 | Facility | None | $0.03 | $0.03 | $0.03 |
Cigna Setting Professional Modifier None Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | None | $0.03 | $0.03 | $0.03 |
Moda Health Setting Facility Modifier None Typical Low $0.02 Median $0.05 Typical High $0.08 | Facility | None | $0.02 | $0.05 | $0.08 |
Moda Health Setting Professional Modifier None Typical Low $0.03 Median $0.05 Typical High $0.08 | Professional | None | $0.03 | $0.05 | $0.08 |
Molina Setting Professional Modifier None Typical Low $0.04 Median $0.04 Typical High $30.20 | Professional | None | $0.04 | $0.04 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $0.04 Median $0.06 Typical High $3.02 | Facility | None | $0.04 | $0.06 | $3.02 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $0.05 Median $0.06 Typical High $3.55 | Professional | None | $0.05 | $0.06 | $3.55 |
Regence BlueShield Setting Professional Modifier None Typical Low $0.04 Median $0.04 Typical High $0.05 | Professional | None | $0.04 | $0.04 | $0.05 |
Select Health Setting Facility Modifier None Typical Low $0.05 Median $0.05 Typical High $0.06 | Facility | None | $0.05 | $0.05 | $0.06 |
Select Health Setting Professional Modifier None Typical Low $0.03 Median $0.05 Typical High $0.06 | Professional | None | $0.03 | $0.05 | $0.06 |
United Setting Professional Modifier None Typical Low $0.02 Median $0.02 Typical High $0.05 | Professional | None | $0.02 | $0.02 | $0.05 |
1 more rate 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 $0.03 Median $0.04 Typical High $0.04 | Professional | 78 · Unplanned return to OR | $0.03 | $0.04 | $0.04 |
Where Idaho sits
The same service costs 1.7 times more in South Carolina than in New Jersey. 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· 2nd of 51
$0.05
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.