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 $7,762.47 Median $17,378.01 Typical High $17,378.01 | Professional | None | $7,762.47 | $17,378.01 | $17,378.01 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5,754.40 Median $12,882.50 Typical High $12,882.50 | Professional | UE · Used equipment | $5,754.40 | $12,882.50 | $12,882.50 |
BCBS Idaho Setting Facility Modifier None Typical Low $1,148.15 Median $2,238.72 Typical High $25,118.86 | Facility | None | $1,148.15 | $2,238.72 | $25,118.86 |
BCBS Idaho Setting Professional Modifier None Typical Low $1,584.89 Median $10,715.19 Typical High $16,595.87 | Professional | None | $1,584.89 | $10,715.19 | $16,595.87 |
BCBS Idaho Setting Professional Modifier RR · Rental Typical Low $1,584.89 Median $1,659.59 Typical High $1,659.59 | Professional | RR · Rental | $1,584.89 | $1,659.59 | $1,659.59 |
BCBS Idaho Setting Professional Modifier UE · Used equipment Typical Low $14,125.38 Median $14,791.08 Typical High $14,791.08 | Professional | UE · Used equipment | $14,125.38 | $14,791.08 | $14,791.08 |
Cigna Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | None | $11,220.18 | $11,220.18 | $11,220.18 |
Cigna Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | UE · Used equipment | $8,317.64 | $8,317.64 | $8,317.64 |
Moda Health Setting Facility Modifier None Typical Low $1,513.56 Median $7,762.47 Typical High $17,378.01 | Facility | None | $1,513.56 | $7,762.47 | $17,378.01 |
Moda Health Setting Professional Modifier None Typical Low $7,762.47 Median $17,378.01 Typical High $17,378.01 | Professional | None | $7,762.47 | $17,378.01 | $17,378.01 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $5,754.40 Median $12,882.50 Typical High $12,882.50 | Professional | UE · Used equipment | $5,754.40 | $12,882.50 | $12,882.50 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $11,481.54 Typical High $13,489.63 | Professional | None | $30.20 | $11,481.54 | $13,489.63 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $15,135.61 | Facility | None | $15,135.61 | $15,135.61 | $15,135.61 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $15,488.17 | Professional | None | $15,135.61 | $15,135.61 | $15,488.17 |
MountainHealth Co-op Setting Professional Modifier RR · Rental Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | RR · Rental | $1,513.56 | $1,513.56 | $1,513.56 |
MountainHealth Co-op Setting Professional Modifier UE · Used equipment Typical Low $11,220.18 Median $11,220.18 Typical High $11,748.98 | Professional | UE · Used equipment | $11,220.18 | $11,220.18 | $11,748.98 |
Regence BlueShield Setting Professional Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Professional | None | $10,715.19 | $10,715.19 | $10,715.19 |
Select Health Setting Facility Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $15,848.93 | Facility | None | $1,348.96 | $1,621.81 | $15,848.93 |
Select Health Setting Professional Modifier None Typical Low $1,096.48 Median $2,187.76 Typical High $15,848.93 | Professional | None | $1,096.48 | $2,187.76 | $15,848.93 |
Select Health Setting Professional Modifier RR · Rental Typical Low $1,023.29 Median $1,584.89 Typical High $1,737.80 | Professional | RR · Rental | $1,023.29 | $1,584.89 | $1,737.80 |
Select Health Setting Professional Modifier UE · Used equipment Typical Low $7,762.47 Median $11,748.98 Typical High $12,882.50 | Professional | UE · Used equipment | $7,762.47 | $11,748.98 | $12,882.50 |
United Setting Professional Modifier None Typical Low $6,025.60 Median $6,456.54 Typical High $8,912.51 | Professional | None | $6,025.60 | $6,456.54 | $8,912.51 |
United Setting Professional Modifier RR · Rental Typical Low $602.56 Median $660.69 Typical High $891.25 | Professional | RR · Rental | $602.56 | $660.69 | $891.25 |
United Setting Professional Modifier UE · Used equipment Typical Low $4,570.88 Median $4,897.79 Typical High $6,606.93 | Professional | UE · Used equipment | $4,570.88 | $4,897.79 | $6,606.93 |
2 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 |
|---|---|---|---|---|---|
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $977.24 Median $1,148.15 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $977.24 | $1,148.15 | $1,148.15 |
Select Health Setting Professional Modifier KJ · Rental month 4–15 Typical Low $776.25 Median $1,174.90 Typical High $1,548.82 | Professional | KJ · Rental month 4–15 | $776.25 | $1,174.90 | $1,548.82 |
Where Idaho sits
The same service costs 8.3 times more in North Dakota than in Washington. 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
$11,220
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.