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 $1.55 Median $1.82 Typical High $1.82 | Facility | None | $1.55 | $1.82 | $1.82 |
Aetna Setting Professional Modifier None Typical Low $1.23 Median $1.51 Typical High $1.51 | Professional | None | $1.23 | $1.51 | $1.51 |
BCBS Idaho Setting Facility Modifier None Typical Low $1.95 Median $4.90 Typical High $8.32 | Facility | None | $1.95 | $4.90 | $8.32 |
BCBS Idaho Setting Professional Modifier None Typical Low $1.32 Median $1.95 Typical High $6.92 | Professional | None | $1.32 | $1.95 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $1.35 Median $1.38 Typical High $3.09 | Facility | None | $1.35 | $1.38 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | None | $1.23 | $1.23 | $1.23 |
Moda Health Setting Facility Modifier None Typical Low $1.35 Median $1.82 Typical High $8.71 | Facility | None | $1.35 | $1.82 | $8.71 |
Moda Health Setting Professional Modifier None Typical Low $1.20 Median $1.35 Typical High $1.51 | Professional | None | $1.20 | $1.35 | $1.51 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1.15 Median $1.23 Typical High $1.51 | Facility | None | $1.15 | $1.23 | $1.51 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1.00 Median $1.20 Typical High $1.51 | Professional | None | $1.00 | $1.20 | $1.51 |
Regence BlueShield Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | None | $1.45 | $1.45 | $1.45 |
Select Health Setting Facility Modifier None Typical Low $1.23 Median $1.23 Typical High $3.55 | Facility | None | $1.23 | $1.23 | $3.55 |
Select Health Setting Professional Modifier None Typical Low $1.23 Median $1.23 Typical High $1.74 | Professional | None | $1.23 | $1.23 | $1.74 |
United Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.74 | Professional | None | $1.10 | $1.10 | $1.74 |
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 $6.03 Median $8.51 Typical High $9.55 | Facility | JZ · No drug discarded | $6.03 | $8.51 | $9.55 |
Where Idaho sits
The same service costs 3.8 times more in Texas than in Maryland. 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· 11th of 51
$1.51
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.