How much rates vary
Facilitymedian $39 · 10th to 90th $25 to $65Professionalmedian $38 · 10th to 90th $20 to $50
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 $19.95 Median $43.65 Typical High $43.65 | Professional | None | $19.95 | $43.65 | $43.65 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $33.11 Typical High $33.11 | Professional | UE · Used equipment | $14.79 | $33.11 | $33.11 |
BCBS Idaho Setting Facility Modifier None Typical Low $31.62 Median $38.90 Typical High $64.57 | Facility | None | $31.62 | $38.90 | $64.57 |
BCBS Idaho Setting Professional Modifier None Typical Low $28.18 Median $39.81 Typical High $42.66 | Professional | None | $28.18 | $39.81 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $26.92 | Facility | None | $25.12 | $25.12 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | UE · Used equipment | $16.22 | $16.22 | $16.22 |
Moda Health Setting Facility Modifier None Typical Low $28.18 Median $38.02 Typical High $43.65 | Facility | None | $28.18 | $38.02 | $43.65 |
Moda Health Setting Professional Modifier None Typical Low $19.95 Median $42.66 Typical High $43.65 | Professional | None | $19.95 | $42.66 | $43.65 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $33.11 Typical High $33.11 | Professional | UE · Used equipment | $14.79 | $33.11 | $33.11 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $30.20 Typical High $34.67 | Professional | None | $29.51 | $30.20 | $34.67 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $31.62 Median $50.12 Typical High $2,398.83 | Facility | None | $31.62 | $50.12 | $2,398.83 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $10.00 Median $50.12 Typical High $2,818.38 | Professional | None | $10.00 | $50.12 | $2,818.38 |
Regence BlueShield Setting Facility Modifier None Typical Low $38.02 Median $38.90 Typical High $57.54 | Facility | None | $38.02 | $38.90 | $57.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $42.66 | Professional | None | $28.18 | $28.18 | $42.66 |
Select Health Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $63.10 | Facility | None | $40.74 | $40.74 | $63.10 |
Select Health Setting Professional Modifier None Typical Low $26.30 Median $40.74 Typical High $70.79 | Professional | None | $26.30 | $40.74 | $70.79 |
United Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $26.30 | Professional | None | $13.18 | $16.60 | $26.30 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $12.02 Typical High $15.49 | Professional | UE · Used equipment | $10.00 | $12.02 | $15.49 |
3 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 $28.18 Median $29.51 Typical High $29.51 | Professional | 78 · Unplanned return to OR | $28.18 | $29.51 | $29.51 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
United Setting Professional Modifier RR · Rental Typical Low $1.32 Median $1.55 Typical High $2.04 | Professional | RR · Rental | $1.32 | $1.55 | $2.04 |
Where Idaho sits
The same service costs 2.6 times more in Hawaii than in Rhode Island. 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· 12th of 51
$38.02
HI $42.66RI $16.22
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.