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 $10.72 Median $12.02 Typical High $44.67 | Facility | None | $10.72 | $12.02 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $9.33 Typical High $10.23 | Professional | None | $8.13 | $9.33 | $10.23 |
BCBS Idaho Setting Facility Modifier None Typical Low $2.95 Median $8.71 Typical High $12.88 | Facility | None | $2.95 | $8.71 | $12.88 |
BCBS Idaho Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $29.51 | Professional | None | $8.91 | $12.88 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $9.12 Typical High $20.42 | Facility | None | $8.91 | $9.12 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Moda Health Setting Facility Modifier None Typical Low $6.76 Median $12.59 Typical High $38.02 | Facility | None | $6.76 | $12.59 | $38.02 |
Moda Health Setting Professional Modifier None Typical Low $4.90 Median $8.13 Typical High $10.00 | Professional | None | $4.90 | $8.13 | $10.00 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $5.01 Median $8.13 Typical High $10.00 | Facility | None | $5.01 | $8.13 | $10.00 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4.27 Median $5.25 Typical High $10.00 | Professional | None | $4.27 | $5.25 | $10.00 |
Regence BlueShield Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Select Health Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $14.45 | Facility | None | $8.13 | $8.13 | $14.45 |
Select Health Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $11.48 | Professional | None | $8.13 | $8.13 | $11.48 |
United Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $7.08 | Professional | None | $4.47 | $4.47 | $7.08 |
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 $9.77 Median $19.50 Typical High $25.12 | Facility | JZ · No drug discarded | $9.77 | $19.50 | $25.12 |
Where Idaho sits
The same service costs 10.7 times more in Minnesota 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
$9.33
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.