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 $2.88 Median $3.39 Typical High $3.63 | Facility | None | $2.88 | $3.39 | $3.63 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.63 Typical High $3.24 | Professional | None | $2.29 | $2.63 | $3.24 |
BCBS Idaho Setting Facility Modifier None Typical Low $0.87 Median $1.82 Typical High $4.27 | Facility | None | $0.87 | $1.82 | $4.27 |
BCBS Idaho Setting Professional Modifier None Typical Low $1.82 Median $3.72 Typical High $3.72 | Professional | None | $1.82 | $3.72 | $3.72 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $2.57 Typical High $5.89 | Facility | None | $2.51 | $2.57 | $5.89 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Moda Health Setting Facility Modifier None Typical Low $2.51 Median $3.63 Typical High $11.75 | Facility | None | $2.51 | $3.63 | $11.75 |
Moda Health Setting Professional Modifier None Typical Low $1.82 Median $2.29 Typical High $2.88 | Professional | None | $1.82 | $2.29 | $2.88 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1.91 Median $2.51 Typical High $2.88 | Facility | None | $1.91 | $2.51 | $2.88 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1.62 Median $2.00 Typical High $2.88 | Professional | None | $1.62 | $2.00 | $2.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | None | $2.75 | $2.75 | $2.75 |
Select Health Setting Facility Modifier None Typical Low $1.66 Median $2.29 Typical High $4.07 | Facility | None | $1.66 | $2.29 | $4.07 |
Select Health Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $3.24 | Professional | None | $2.29 | $2.29 | $3.24 |
United Setting Professional Modifier None Typical Low $1.66 Median $1.66 Typical High $2.63 | Professional | None | $1.66 | $1.66 | $2.63 |
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 $9.12 Median $17.78 Typical High $21.88 | Facility | JZ · No drug discarded | $9.12 | $17.78 | $21.88 |
Where Idaho sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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
$2.57
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.