How much rates vary
Facilitymedian $69 · 10th to 90th $27 to $575Professionalmedian $66 · 10th to 90th $23 to $575
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 $251.19 Median $575.44 Typical High $575.44 | Professional | None | $251.19 | $575.44 | $575.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $28.84 Median $36.31 Typical High $549.54 | Facility | None | $28.84 | $36.31 | $549.54 |
BCBS Idaho Setting Professional Modifier None Typical Low $51.29 Median $81.28 Typical High $537.03 | Professional | None | $51.29 | $81.28 | $537.03 |
BCBS Idaho Setting Professional Modifier RR · Rental Typical Low $35.48 Median $53.70 Typical High $93.33 | Professional | RR · Rental | $35.48 | $53.70 | $93.33 |
Cigna Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $32.36 | Facility | RR · Rental | $30.90 | $30.90 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | RR · Rental | $26.30 | $26.30 | $26.30 |
Moda Health Setting Facility Modifier None Typical Low $14.45 Median $251.19 Typical High $575.44 | Facility | None | $14.45 | $251.19 | $575.44 |
Moda Health Setting Professional Modifier None Typical Low $251.19 Median $575.44 Typical High $575.44 | Professional | None | $251.19 | $575.44 | $575.44 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $45.71 Median $51.29 Typical High $53.70 | Professional | RR · Rental | $45.71 | $51.29 | $53.70 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $457.09 | Professional | None | $30.20 | $44.67 | $457.09 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $12.59 Median $63.10 Typical High $66.07 | Professional | None | $12.59 | $63.10 | $66.07 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $72.44 | Facility | RR · Rental | $47.86 | $47.86 | $72.44 |
Regence BlueShield Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $53.70 | Professional | RR · Rental | $35.48 | $35.48 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $61.66 | Facility | None | $51.29 | $51.29 | $61.66 |
Select Health Setting Professional Modifier None Typical Low $33.88 Median $51.29 Typical High $100.00 | Professional | None | $33.88 | $51.29 | $100.00 |
Select Health Setting Professional Modifier RR · Rental Typical Low $43.65 Median $51.29 Typical High $181.97 | Professional | RR · Rental | $43.65 | $51.29 | $181.97 |
United Setting Professional Modifier None Typical Low $15.49 Median $17.78 Typical High $22.91 | Professional | None | $15.49 | $17.78 | $22.91 |
United Setting Professional Modifier RR · Rental Typical Low $16.22 Median $22.91 Typical High $39.81 | Professional | RR · Rental | $16.22 | $22.91 | $39.81 |
6 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 $186.21 Median $426.58 Typical High $426.58 | Professional | UE · Used equipment | $186.21 | $426.58 | $426.58 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | 78 · Unplanned return to OR | $36.31 | $38.02 | $38.02 |
BCBS Idaho Setting Professional Modifier MS · Maintenance fee Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | MS · Maintenance fee | $51.29 | $53.70 | $53.70 |
BCBS Idaho Setting Professional Modifier QB · Oxygen over 4 L/min + portable Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | QB · Oxygen over 4 L/min + portable | $89.13 | $93.33 | $93.33 |
BCBS Idaho Setting Professional Modifier QF · Oxygen over 4 L/min at rest + portable Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | QF · Oxygen over 4 L/min at rest + portable | $89.13 | $93.33 | $93.33 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $426.58 Typical High $426.58 | Professional | UE · Used equipment | $186.21 | $426.58 | $426.58 |
Where Idaho sits
The same service costs 29.5 times more in Wyoming than in Oklahoma. 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· 26th of 51
$66.07
WY $676OK $22.91
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.