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 $19.50 Median $36.31 Typical High $36.31 | Professional | None | $19.50 | $36.31 | $36.31 |
BCBS Idaho Setting Facility Modifier None Typical Low $2.63 Median $6.46 Typical High $56.23 | Facility | None | $2.63 | $6.46 | $56.23 |
BCBS Idaho Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $38.90 | Professional | None | $34.67 | $36.31 | $38.90 |
BCBS Idaho Setting Professional Modifier RR · Rental Typical Low $3.72 Median $3.80 Typical High $3.89 | Professional | RR · Rental | $3.72 | $3.80 | $3.89 |
BCBS Idaho Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $27.54 Typical High $29.51 | Professional | UE · Used equipment | $26.30 | $27.54 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $23.44 | Facility | None | $21.88 | $21.88 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $23.44 | Professional | None | $18.62 | $21.88 | $23.44 |
Moda Health Setting Facility Modifier None Typical Low $3.16 Median $19.50 Typical High $36.31 | Facility | None | $3.16 | $19.50 | $36.31 |
Moda Health Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $36.31 | Professional | None | $30.20 | $33.11 | $36.31 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $3.16 Median $3.55 Typical High $3.80 | Professional | RR · Rental | $3.16 | $3.55 | $3.80 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $25.12 Typical High $27.54 | Professional | UE · Used equipment | $23.99 | $25.12 | $27.54 |
Molina Setting Professional Modifier None Typical Low $2.45 Median $23.99 Typical High $24.55 | Professional | None | $2.45 | $23.99 | $24.55 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $26.92 | Facility | None | $4.17 | $4.17 | $26.92 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4.17 Median $27.54 Typical High $38.02 | Professional | None | $4.17 | $27.54 | $38.02 |
Regence BlueShield Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $24.55 | Professional | None | $22.91 | $22.91 | $24.55 |
Select Health Setting Facility Modifier None Typical Low $3.16 Median $3.39 Typical High $33.11 | Facility | None | $3.16 | $3.39 | $33.11 |
Select Health Setting Professional Modifier None Typical Low $2.57 Median $4.37 Typical High $34.67 | Professional | None | $2.57 | $4.37 | $34.67 |
United Setting Professional Modifier None Typical Low $15.49 Median $16.60 Typical High $27.54 | Professional | None | $15.49 | $16.60 | $27.54 |
United Setting Professional Modifier RR · Rental Typical Low $1.55 Median $1.66 Typical High $2.75 | Professional | RR · Rental | $1.55 | $1.66 | $2.75 |
United Setting Professional Modifier UE · Used equipment Typical Low $11.75 Median $12.59 Typical High $20.89 | Professional | UE · Used equipment | $11.75 | $12.59 | $20.89 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Professional Modifier KU · Bidding program group 3 Typical Low $31.62 Median $35.48 Typical High $38.02 | Professional | KU · Bidding program group 3 | $31.62 | $35.48 | $38.02 |
Where Idaho sits
The same service costs 2.6 times more in Hawaii than in New Mexico. 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
$27.54
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.