How much rates vary
Facilitymedian $407 · 10th to 90th $100 to $1,479Professionalmedian $661 · 10th to 90th $60 to $1,862
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 $645.65 Median $1,479.11 Typical High $1,479.11 | Professional | None | $645.65 | $1,479.11 | $1,479.11 |
BCBS Idaho Setting Facility Modifier None Typical Low $154.88 Median $229.09 Typical High $3,467.37 | Facility | None | $154.88 | $229.09 | $3,467.37 |
BCBS Idaho Setting Professional Modifier None Typical Low $177.83 Median $281.84 Typical High $1,862.09 | Professional | None | $177.83 | $281.84 | $1,862.09 |
BCBS Idaho Setting Professional Modifier RR · Rental Typical Low $70.79 Median $177.83 Typical High $186.21 | Professional | RR · Rental | $70.79 | $177.83 | $186.21 |
Cigna Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $72.44 | Facility | RR · Rental | $67.61 | $67.61 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $57.54 | $57.54 | $57.54 |
Moda Health Setting Facility Modifier None Typical Low $89.13 Median $812.83 Typical High $1,479.11 | Facility | None | $89.13 | $812.83 | $1,479.11 |
Moda Health Setting Professional Modifier None Typical Low $645.65 Median $1,479.11 Typical High $1,479.11 | Professional | None | $645.65 | $1,479.11 | $1,479.11 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $89.13 Median $100.00 Typical High $107.15 | Professional | RR · Rental | $89.13 | $100.00 | $107.15 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $151.36 Typical High $1,513.56 | Professional | None | $30.20 | $151.36 | $1,513.56 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $25.12 Median $125.89 Typical High $131.83 | Professional | None | $25.12 | $125.89 | $131.83 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $95.50 Median $95.50 Typical High $181.97 | Facility | RR · Rental | $95.50 | $95.50 | $181.97 |
Regence BlueShield Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | RR · Rental | $70.79 | $70.79 | $107.15 |
Select Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $371.54 | Facility | None | $100.00 | $100.00 | $371.54 |
Select Health Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $199.53 | Professional | None | $100.00 | $131.83 | $199.53 |
Select Health Setting Professional Modifier RR · Rental Typical Low $100.00 Median $141.25 Typical High $199.53 | Professional | RR · Rental | $100.00 | $141.25 | $199.53 |
United Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $288.40 | Professional | None | $60.26 | $79.43 | $288.40 |
United Setting Professional Modifier RR · Rental Typical Low $35.48 Median $77.62 Typical High $177.83 | Professional | RR · Rental | $35.48 | $77.62 | $177.83 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $478.63 Median $1,122.02 Typical High $1,122.02 | Professional | UE · Used equipment | $478.63 | $1,122.02 | $1,122.02 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $128.82 Typical High $134.90 | Professional | 78 · Unplanned return to OR | $123.03 | $128.82 | $134.90 |
BCBS Idaho Setting Professional Modifier MS · Maintenance fee Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | MS · Maintenance fee | $177.83 | $186.21 | $186.21 |
BCBS Idaho Setting Professional Modifier QB · Oxygen over 4 L/min + portable Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | QB · Oxygen over 4 L/min + portable | $177.83 | $186.21 | $186.21 |
BCBS Idaho Setting Professional Modifier QF · Oxygen over 4 L/min at rest + portable Typical Low $177.83 Median $186.21 Typical High $186.21 | Professional | QF · Oxygen over 4 L/min at rest + portable | $177.83 | $186.21 | $186.21 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $478.63 Median $1,122.02 Typical High $1,122.02 | Professional | UE · Used equipment | $478.63 | $1,122.02 | $1,122.02 |
Where Idaho sits
The same service costs 13.2 times more in Wyoming than in Montana. 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· 24th of 51
$646
WY $1,349MT $102
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.