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 $691.83 Median $1,584.89 Typical High $1,584.89 | Professional | None | $691.83 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $1,202.26 Typical High $1,202.26 | Professional | UE · Used equipment | $512.86 | $1,202.26 | $1,202.26 |
BCBS Idaho Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $3,715.35 | Facility | None | $165.96 | $251.19 | $3,715.35 |
BCBS Idaho Setting Professional Modifier None Typical Low $190.55 Median $302.00 Typical High $2,041.74 | Professional | None | $190.55 | $302.00 | $2,041.74 |
BCBS Idaho Setting Professional Modifier RR · Rental Typical Low $75.86 Median $190.55 Typical High $204.17 | Professional | RR · Rental | $75.86 | $190.55 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $891.25 | Facility | None | $851.14 | $851.14 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | RR · Rental | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | UE · Used equipment | $537.03 | $537.03 | $537.03 |
Moda Health Setting Facility Modifier None Typical Low $97.72 Median $870.96 Typical High $1,584.89 | Facility | None | $97.72 | $870.96 | $1,584.89 |
Moda Health Setting Professional Modifier None Typical Low $691.83 Median $1,584.89 Typical High $1,584.89 | Professional | None | $691.83 | $1,584.89 | $1,584.89 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $95.50 Median $107.15 Typical High $114.82 | Professional | RR · Rental | $95.50 | $107.15 | $114.82 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $1,202.26 Typical High $1,202.26 | Professional | UE · Used equipment | $512.86 | $1,202.26 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $162.18 Typical High $1,659.59 | Professional | None | $30.20 | $162.18 | $1,659.59 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $26.92 Median $134.90 Typical High $141.25 | Professional | None | $26.92 | $134.90 | $141.25 |
MountainHealth Co-op Setting Professional Modifier RR · Rental Typical Low $97.72 Median $114.82 Typical High $114.82 | Professional | RR · Rental | $97.72 | $114.82 | $114.82 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $102.33 Median $102.33 Typical High $199.53 | Facility | RR · Rental | $102.33 | $102.33 | $199.53 |
Regence BlueShield Setting Professional Modifier RR · Rental Typical Low $75.86 Median $75.86 Typical High $114.82 | Professional | RR · Rental | $75.86 | $75.86 | $114.82 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $407.38 | Facility | None | $107.15 | $107.15 | $407.38 |
Select Health Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $213.80 | Professional | None | $107.15 | $144.54 | $213.80 |
Select Health Setting Professional Modifier RR · Rental Typical Low $107.15 Median $144.54 Typical High $213.80 | Professional | RR · Rental | $107.15 | $144.54 | $213.80 |
United Setting Professional Modifier None Typical Low $66.07 Median $114.82 Typical High $389.05 | Professional | None | $66.07 | $114.82 | $389.05 |
United Setting Professional Modifier RR · Rental Typical Low $38.02 Median $85.11 Typical High $316.23 | Professional | RR · Rental | $38.02 | $85.11 | $316.23 |
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 $125.89 Median $141.25 Typical High $141.25 | Professional | 78 · Unplanned return to OR | $125.89 | $141.25 | $141.25 |
BCBS Idaho Setting Professional Modifier MS · Maintenance fee Typical Low $190.55 Median $204.17 Typical High $204.17 | Professional | MS · Maintenance fee | $190.55 | $204.17 | $204.17 |
Where Idaho sits
The same service costs 11.5 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· 34th of 51
$724
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.