How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $8Professionalmedian $1 · 10th to 90th $1 to $1
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 $0.79 Median $0.85 Typical High $1.07 | Facility | None | $0.79 | $0.85 | $1.07 |
Aetna Setting Professional Modifier None Typical Low $0.56 Median $0.72 Typical High $0.72 | Professional | None | $0.56 | $0.72 | $0.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.09 Median $0.11 Typical High $0.11 | Professional | 55 · Aftercare only | $0.09 | $0.11 | $0.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.06 Median $0.07 Typical High $0.07 | Professional | 56 · Pre-op care only | $0.06 | $0.07 | $0.07 |
BCBS Idaho Setting Facility Modifier None Typical Low $0.91 Median $0.91 Typical High $0.91 | Facility | None | $0.91 | $0.91 | $0.91 |
BCBS Idaho Setting Professional Modifier None Typical Low $0.63 Median $0.69 Typical High $2.29 | Professional | None | $0.63 | $0.69 | $2.29 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $0.42 Median $1.38 Typical High $1.62 | Professional | 78 · Unplanned return to OR | $0.42 | $1.38 | $1.62 |
Cigna Setting Facility Modifier None Typical Low $0.78 Median $0.81 Typical High $1.41 | Facility | None | $0.78 | $0.81 | $1.41 |
Cigna Setting Professional Modifier None Typical Low $0.55 Median $0.55 Typical High $0.55 | Professional | None | $0.55 | $0.55 | $0.55 |
Moda Health Setting Facility Modifier None Typical Low $0.71 Median $1.07 Typical High $7.76 | Facility | None | $0.71 | $1.07 | $7.76 |
Moda Health Setting Professional Modifier None Typical Low $0.58 Median $0.71 Typical High $0.81 | Professional | None | $0.58 | $0.71 | $0.81 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $0.11 Median $0.12 Typical High $0.12 | Professional | 55 · Aftercare only | $0.11 | $0.12 | $0.12 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $0.07 Median $0.08 Typical High $0.08 | Professional | 56 · Pre-op care only | $0.07 | $0.08 | $0.08 |
Molina Setting Professional Modifier None Typical Low $0.43 Median $0.43 Typical High $0.51 | Professional | None | $0.43 | $0.43 | $0.51 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $0.63 Median $0.78 Typical High $1.00 | Facility | None | $0.63 | $0.78 | $1.00 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $0.66 Median $0.71 Typical High $0.79 | Professional | None | $0.66 | $0.71 | $0.79 |
Regence BlueShield Setting Professional Modifier None Typical Low $0.63 Median $0.69 Typical High $0.71 | Professional | None | $0.63 | $0.69 | $0.71 |
Select Health Setting Facility Modifier None Typical Low $0.56 Median $0.56 Typical High $1.20 | Facility | None | $0.56 | $0.56 | $1.20 |
Select Health Setting Professional Modifier None Typical Low $0.56 Median $0.56 Typical High $0.81 | Professional | None | $0.56 | $0.56 | $0.81 |
United Setting Professional Modifier None Typical Low $0.65 Median $0.65 Typical High $0.69 | Professional | None | $0.65 | $0.65 | $0.69 |
Where Idaho sits
The same service costs 1.9 times more in Wyoming 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
$0.69
WY $1.07OK $0.55
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.