How much rates vary
Facilitymedian $363 · 10th to 90th $102 to $1,862Professionalmedian $794 · 10th to 90th $126 to $2,291
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 $812.83 Median $1,862.09 Typical High $1,862.09 | Professional | None | $812.83 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $1,412.54 Typical High $1,412.54 | Professional | UE · Used equipment | $616.60 | $1,412.54 | $1,412.54 |
BCBS Idaho Setting Facility Modifier None Typical Low $199.53 Median $295.12 Typical High $3,981.07 | Facility | None | $199.53 | $295.12 | $3,981.07 |
BCBS Idaho Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $2,290.87 | Professional | None | $218.78 | $346.74 | $2,290.87 |
BCBS Idaho Setting Professional Modifier RR · Rental Typical Low $95.50 Median $218.78 Typical High $229.09 | Professional | RR · Rental | $95.50 | $218.78 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $933.25 | Facility | None | $93.33 | $93.33 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | RR · Rental | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | UE · Used equipment | $602.56 | $602.56 | $602.56 |
Moda Health Setting Facility Modifier None Typical Low $102.33 Median $1,023.29 Typical High $1,862.09 | Facility | None | $102.33 | $1,023.29 | $1,862.09 |
Moda Health Setting Professional Modifier None Typical Low $812.83 Median $1,862.09 Typical High $1,862.09 | Professional | None | $812.83 | $1,862.09 | $1,862.09 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $123.03 Median $138.04 Typical High $144.54 | Professional | RR · Rental | $123.03 | $138.04 | $144.54 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $1,412.54 Typical High $1,412.54 | Professional | UE · Used equipment | $616.60 | $1,412.54 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $186.21 Typical High $1,862.09 | Professional | None | $30.20 | $186.21 | $1,862.09 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $33.88 Median $169.82 Typical High $177.83 | Professional | None | $33.88 | $169.82 | $177.83 |
MountainHealth Co-op Setting Professional Modifier RR · Rental Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | RR · Rental | $123.03 | $144.54 | $144.54 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $213.80 | Facility | RR · Rental | $128.82 | $128.82 | $213.80 |
Regence BlueShield Setting Professional Modifier RR · Rental Typical Low $95.50 Median $95.50 Typical High $144.54 | Professional | RR · Rental | $95.50 | $95.50 | $144.54 |
Select Health Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $436.52 | Facility | None | $138.04 | $138.04 | $436.52 |
Select Health Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $269.15 | Professional | None | $138.04 | $173.78 | $269.15 |
Select Health Setting Professional Modifier RR · Rental Typical Low $138.04 Median $173.78 Typical High $269.15 | Professional | RR · Rental | $138.04 | $173.78 | $269.15 |
United Setting Professional Modifier None Typical Low $77.62 Median $125.89 Typical High $933.25 | Professional | None | $77.62 | $125.89 | $933.25 |
United Setting Professional Modifier RR · Rental Typical Low $52.48 Median $95.50 Typical High $208.93 | Professional | RR · Rental | $52.48 | $95.50 | $208.93 |
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 $151.36 Median $158.49 Typical High $165.96 | Professional | 78 · Unplanned return to OR | $151.36 | $158.49 | $165.96 |
BCBS Idaho Setting Professional Modifier MS · Maintenance fee Typical Low $218.78 Median $229.09 Typical High $229.09 | Professional | MS · Maintenance fee | $218.78 | $229.09 | $229.09 |
Where Idaho sits
The same service costs 10.0 times more in Minnesota than in Montana. 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· 43rd of 51
$794
MN $1,514MT $151
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.