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 Facility Modifier None Typical Low $0.51 Median $0.60 Typical High $0.71 | Facility | None | $0.51 | $0.60 | $0.71 |
Aetna Setting Professional Modifier None Typical Low $0.40 Median $0.51 Typical High $0.62 | Professional | None | $0.40 | $0.51 | $0.62 |
BCBS Idaho Setting Facility Modifier None Typical Low $0.83 Median $1.74 Typical High $5.89 | Facility | None | $0.83 | $1.74 | $5.89 |
BCBS Idaho Setting Professional Modifier None Typical Low $0.44 Median $0.65 Typical High $8.91 | Professional | None | $0.44 | $0.65 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $0.44 Median $0.46 Typical High $1.02 | Facility | None | $0.44 | $0.46 | $1.02 |
Cigna Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | None | $0.40 | $0.40 | $0.40 |
Moda Health Setting Facility Modifier None Typical Low $0.50 Median $2.04 Typical High $8.32 | Facility | None | $0.50 | $2.04 | $8.32 |
Moda Health Setting Professional Modifier None Typical Low $0.44 Median $0.54 Typical High $0.83 | Professional | None | $0.44 | $0.54 | $0.83 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $0.38 Median $0.44 Typical High $0.51 | Facility | None | $0.38 | $0.44 | $0.51 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $0.33 Median $0.40 Typical High $0.50 | Professional | None | $0.33 | $0.40 | $0.50 |
Regence BlueShield Setting Professional Modifier None Typical Low $0.48 Median $0.48 Typical High $0.48 | Professional | None | $0.48 | $0.48 | $0.48 |
Select Health Setting Facility Modifier None Typical Low $0.40 Median $0.40 Typical High $0.83 | Facility | None | $0.40 | $0.40 | $0.83 |
Select Health Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $0.56 | Professional | None | $0.40 | $0.40 | $0.56 |
United Setting Professional Modifier None Typical Low $0.43 Median $0.43 Typical High $0.69 | Professional | None | $0.43 | $0.43 | $0.69 |
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 Facility Modifier JZ · No drug discarded Typical Low $2.00 Median $4.90 Typical High $8.13 | Facility | JZ · No drug discarded | $2.00 | $4.90 | $8.13 |
Where Idaho sits
The same service costs 4.0 times more in Texas than in Georgia. 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· 10th of 51
$0.52
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.