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 $12.30 Median $23.99 Typical High $23.99 | Professional | None | $12.30 | $23.99 | $23.99 |
BCBS Idaho Setting Facility Modifier None Typical Low $1.91 Median $20.42 Typical High $38.90 | Facility | None | $1.91 | $20.42 | $38.90 |
BCBS Idaho Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $26.30 | Professional | None | $24.55 | $25.70 | $26.30 |
BCBS Idaho Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.69 Typical High $2.75 | Professional | RR · Rental | $2.51 | $2.69 | $2.75 |
BCBS Idaho Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $19.50 Typical High $19.95 | Professional | UE · Used equipment | $19.05 | $19.50 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $14.79 | Facility | None | $13.80 | $13.80 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $14.79 | Professional | None | $11.75 | $13.80 | $14.79 |
Moda Health Setting Facility Modifier None Typical Low $2.40 Median $15.49 Typical High $23.99 | Facility | None | $2.40 | $15.49 | $23.99 |
Moda Health Setting Professional Modifier None Typical Low $19.05 Median $21.88 Typical High $23.99 | Professional | None | $19.05 | $21.88 | $23.99 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $16.98 Typical High $18.20 | Professional | UE · Used equipment | $14.79 | $16.98 | $18.20 |
Molina Setting Professional Modifier None Typical Low $1.70 Median $2.29 Typical High $16.98 | Professional | None | $1.70 | $2.29 | $16.98 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $16.22 Median $26.92 Typical High $26.92 | Facility | None | $16.22 | $26.92 | $26.92 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $28.18 | Professional | None | $17.38 | $22.91 | $28.18 |
Regence BlueShield Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $30.90 | Facility | None | $20.42 | $20.42 | $30.90 |
Regence BlueShield Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.85 | Professional | None | $15.14 | $15.14 | $15.85 |
Select Health Setting Facility Modifier None Typical Low $2.19 Median $3.31 Typical High $21.88 | Facility | None | $2.19 | $3.31 | $21.88 |
Select Health Setting Professional Modifier None Typical Low $1.78 Median $2.82 Typical High $24.55 | Professional | None | $1.78 | $2.82 | $24.55 |
United Setting Professional Modifier None Typical Low $10.47 Median $11.22 Typical High $19.05 | Professional | None | $10.47 | $11.22 | $19.05 |
United Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.12 Typical High $1.91 | Professional | RR · Rental | $1.05 | $1.12 | $1.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $7.76 Median $8.51 Typical High $14.45 | Professional | UE · Used equipment | $7.76 | $8.51 | $14.45 |
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 $1.95 Median $23.99 Typical High $26.30 | Professional | KU · Bidding program group 3 | $1.95 | $23.99 | $26.30 |
Where Idaho sits
The same service costs 2.5 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· 4th of 51
$21.88
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.