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 $36.31 Median $81.28 Typical High $81.28 | Professional | None | $36.31 | $81.28 | $81.28 |
BCBS Idaho Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $120.23 | Facility | None | $66.07 | $83.18 | $120.23 |
BCBS Idaho Setting Professional Modifier None Typical Low $48.98 Median $75.86 Typical High $79.43 | Professional | None | $48.98 | $75.86 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $47.86 | Facility | None | $44.67 | $44.67 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Moda Health Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $87.10 | Facility | None | $69.18 | $70.79 | $87.10 |
Moda Health Setting Professional Modifier None Typical Low $36.31 Median $74.13 Typical High $81.28 | Professional | None | $36.31 | $74.13 | $81.28 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $64.57 | Professional | None | $30.20 | $54.95 | $64.57 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $4,265.80 | Facility | None | $61.66 | $87.10 | $4,265.80 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $14.13 Median $87.10 Typical High $4,897.79 | Professional | None | $14.13 | $87.10 | $4,897.79 |
Regence BlueShield Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $100.00 | Facility | None | $66.07 | $66.07 | $100.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $74.13 | Professional | None | $48.98 | $48.98 | $74.13 |
Select Health Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $165.96 | Facility | None | $70.79 | $70.79 | $165.96 |
Select Health Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $120.23 | Professional | None | $57.54 | $70.79 | $120.23 |
United Setting Professional Modifier None Typical Low $23.44 Median $40.74 Typical High $61.66 | Professional | None | $23.44 | $40.74 | $61.66 |
4 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 55 · Aftercare only Typical Low $5.50 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $5.50 | $12.02 | $12.02 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $50.12 Median $56.23 Typical High $56.23 | Professional | 78 · Unplanned return to OR | $50.12 | $56.23 | $56.23 |
Cigna Setting Professional Modifier RR · Rental Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $109.65 | $109.65 | $109.65 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $12.02 Typical High $12.02 | Professional | 55 · Aftercare only | $5.50 | $12.02 | $12.02 |
Where Idaho sits
The same service costs 2.5 times more in Wyoming than in Florida. 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· 11th of 51
$67.61
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.