How much rates vary
Facilitymedian $13 · 10th to 90th $1 to $20Professionalmedian $10 · 10th to 90th $2 to $15
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 $5.89 Median $15.49 Typical High $15.49 | Professional | None | $5.89 | $15.49 | $15.49 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4.47 Median $11.48 Typical High $11.48 | Professional | UE · Used equipment | $4.47 | $11.48 | $11.48 |
BCBS Idaho Setting Facility Modifier None Typical Low $1.12 Median $13.49 Typical High $22.39 | Facility | None | $1.12 | $13.49 | $22.39 |
BCBS Idaho Setting Professional Modifier None Typical Low $10.00 Median $14.79 Typical High $14.79 | Professional | None | $10.00 | $14.79 | $14.79 |
BCBS Idaho Setting Professional Modifier RR · Rental Typical Low $1.02 Median $1.55 Typical High $1.55 | Professional | RR · Rental | $1.02 | $1.55 | $1.55 |
BCBS Idaho Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $11.22 Typical High $11.22 | Professional | UE · Used equipment | $7.41 | $11.22 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Moda Health Setting Facility Modifier None Typical Low $5.89 Median $15.49 Typical High $22.39 | Facility | None | $5.89 | $15.49 | $22.39 |
Moda Health Setting Professional Modifier None Typical Low $5.89 Median $14.79 Typical High $15.49 | Professional | None | $5.89 | $14.79 | $15.49 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $1.20 Median $1.48 Typical High $1.55 | Professional | RR · Rental | $1.20 | $1.48 | $1.55 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $4.47 Median $11.22 Typical High $11.48 | Professional | UE · Used equipment | $4.47 | $11.22 | $11.48 |
Molina Setting Professional Modifier None Typical Low $1.23 Median $12.02 Typical High $30.20 | Professional | None | $1.23 | $12.02 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1.82 Median $1.82 Typical High $14.13 | Facility | None | $1.82 | $1.82 | $14.13 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1.82 Median $1.91 Typical High $14.79 | Professional | None | $1.82 | $1.91 | $14.79 |
MountainHealth Co-op Setting Professional Modifier RR · Rental Typical Low $1.55 Median $1.55 Typical High $1.55 | Professional | RR · Rental | $1.55 | $1.55 | $1.55 |
MountainHealth Co-op Setting Professional Modifier UE · Used equipment Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | UE · Used equipment | $11.22 | $11.22 | $11.22 |
Regence BlueShield Setting Facility Modifier None Typical Low $13.18 Median $13.49 Typical High $20.42 | Facility | None | $13.18 | $13.49 | $20.42 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $14.79 | Professional | None | $10.00 | $10.00 | $14.79 |
Regence BlueShield Setting Professional Modifier RR · Rental Typical Low $1.02 Median $1.02 Typical High $1.55 | Professional | RR · Rental | $1.02 | $1.02 | $1.55 |
Regence BlueShield Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $7.41 Typical High $11.22 | Professional | UE · Used equipment | $7.41 | $7.41 | $11.22 |
Select Health Setting Facility Modifier None Typical Low $1.48 Median $1.91 Typical High $14.13 | Facility | None | $1.48 | $1.91 | $14.13 |
Select Health Setting Professional Modifier None Typical Low $1.48 Median $3.47 Typical High $28.18 | Professional | None | $1.48 | $3.47 | $28.18 |
United Setting Professional Modifier None Typical Low $4.68 Median $5.89 Typical High $9.12 | Professional | None | $4.68 | $5.89 | $9.12 |
United Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.62 Typical High $0.81 | Professional | RR · Rental | $0.48 | $0.62 | $0.81 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $4.47 Typical High $6.03 | Professional | UE · Used equipment | $3.47 | $4.47 | $6.03 |
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 $8.91 Median $10.47 Typical High $10.96 | Professional | 78 · Unplanned return to OR | $8.91 | $10.47 | $10.96 |
Where Idaho sits
The same service costs 11.2 times more in Minnesota than in Illinois. 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
$10.47
MN $15.14IL $1.35
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.