How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $0 · 10th to 90th $0 to $0
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 $0.49 Median $0.49 Typical High $0.49 | Facility | None | $0.49 | $0.49 | $0.49 |
Aetna Setting Professional Modifier None Typical Low $0.28 Median $0.47 Typical High $0.47 | Professional | None | $0.28 | $0.47 | $0.47 |
BCBS Idaho Setting Facility Modifier None Typical Low $0.20 Median $0.30 Typical High $0.48 | Facility | None | $0.20 | $0.30 | $0.48 |
BCBS Idaho Setting Professional Modifier None Typical Low $0.31 Median $0.33 Typical High $0.33 | Professional | None | $0.31 | $0.33 | $0.33 |
BCBS Idaho Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.25 Median $0.37 Typical High $0.39 | Professional | AU · Urologic/ostomy supply | $0.25 | $0.37 | $0.39 |
BCBS Idaho Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.21 Median $0.32 Typical High $0.33 | Professional | AV · With prosthetic/orthotic | $0.21 | $0.32 | $0.33 |
Cigna Setting Facility Modifier None Typical Low $0.20 Median $0.20 Typical High $0.21 | Facility | None | $0.20 | $0.20 | $0.21 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.20 | Professional | None | $0.17 | $0.17 | $0.20 |
Moda Health Setting Facility Modifier None Typical Low $0.24 Median $0.33 Typical High $0.47 | Facility | None | $0.24 | $0.33 | $0.47 |
Moda Health Setting Professional Modifier None Typical Low $0.28 Median $0.47 Typical High $0.47 | Professional | None | $0.28 | $0.47 | $0.47 |
Moda Health Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.29 Median $0.32 Typical High $0.37 | Professional | AU · Urologic/ostomy supply | $0.29 | $0.32 | $0.37 |
Moda Health Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.29 Median $0.32 Typical High $0.37 | Professional | AV · With prosthetic/orthotic | $0.29 | $0.32 | $0.37 |
Molina Setting Professional Modifier None Typical Low $0.25 Median $0.37 Typical High $30.20 | Professional | None | $0.25 | $0.37 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $0.34 Median $0.44 Typical High $0.55 | Facility | None | $0.34 | $0.44 | $0.55 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $0.34 Median $0.44 Typical High $0.65 | Professional | None | $0.34 | $0.44 | $0.65 |
MountainHealth Co-op Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.26 Median $0.37 Typical High $0.37 | Professional | AU · Urologic/ostomy supply | $0.26 | $0.37 | $0.37 |
MountainHealth Co-op Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.22 Median $0.32 Typical High $0.32 | Professional | AV · With prosthetic/orthotic | $0.22 | $0.32 | $0.32 |
Regence BlueShield Setting Professional Modifier None Typical Low $0.36 Median $0.36 Typical High $0.36 | Professional | None | $0.36 | $0.36 | $0.36 |
Regence BlueShield Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.25 Median $0.25 Typical High $0.37 | Professional | AU · Urologic/ostomy supply | $0.25 | $0.25 | $0.37 |
Regence BlueShield Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.21 Median $0.21 Typical High $0.32 | Professional | AV · With prosthetic/orthotic | $0.21 | $0.21 | $0.32 |
Select Health Setting Facility Modifier None Typical Low $0.30 Median $0.30 Typical High $0.31 | Facility | None | $0.30 | $0.30 | $0.31 |
Select Health Setting Professional Modifier None Typical Low $0.20 Median $0.30 Typical High $0.32 | Professional | None | $0.20 | $0.30 | $0.32 |
Select Health Setting Professional Modifier AU · Urologic/ostomy supply Typical Low $0.23 Median $0.35 Typical High $0.38 | Professional | AU · Urologic/ostomy supply | $0.23 | $0.35 | $0.38 |
Select Health Setting Professional Modifier AV · With prosthetic/orthotic Typical Low $0.20 Median $0.30 Typical High $0.32 | Professional | AV · With prosthetic/orthotic | $0.20 | $0.30 | $0.32 |
United Setting Professional Modifier None Typical Low $0.13 Median $0.14 Typical High $0.24 | Professional | None | $0.13 | $0.14 | $0.24 |
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 $0.20 Median $0.22 Typical High $0.23 | Professional | 78 · Unplanned return to OR | $0.20 | $0.22 | $0.23 |
Where Idaho sits
The same service costs 2.7 times more in Arkansas than in Utah. 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· 7th of 51
$0.33
AR $0.38UT $0.14
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.