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 $0.17 Median $0.20 Typical High $0.21 | Facility | None | $0.17 | $0.20 | $0.21 |
Aetna Setting Professional Modifier None Typical Low $0.14 Median $0.16 Typical High $0.17 | Professional | None | $0.14 | $0.16 | $0.17 |
BCBS Idaho Setting Facility Modifier None Typical Low $0.02 Median $0.21 Typical High $0.34 | Facility | None | $0.02 | $0.21 | $0.34 |
BCBS Idaho Setting Professional Modifier None Typical Low $0.14 Median $0.21 Typical High $2.69 | Professional | None | $0.14 | $0.21 | $2.69 |
Cigna Setting Facility Modifier None Typical Low $0.15 Median $0.16 Typical High $0.36 | Facility | None | $0.15 | $0.16 | $0.36 |
Cigna Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | None | $0.14 | $0.14 | $0.14 |
Moda Health Setting Facility Modifier None Typical Low $0.17 Median $2.19 Typical High $6.92 | Facility | None | $0.17 | $2.19 | $6.92 |
Moda Health Setting Professional Modifier None Typical Low $0.14 Median $0.16 Typical High $0.21 | Professional | None | $0.14 | $0.16 | $0.21 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $0.15 Median $0.38 Typical High $0.51 | Facility | None | $0.15 | $0.38 | $0.51 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $0.18 Median $0.33 Typical High $0.40 | Professional | None | $0.18 | $0.33 | $0.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | None | $0.16 | $0.16 | $0.16 |
Select Health Setting Facility Modifier None Typical Low $0.14 Median $0.14 Typical High $0.28 | Facility | None | $0.14 | $0.14 | $0.28 |
Select Health Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.20 | Professional | None | $0.14 | $0.14 | $0.20 |
United Setting Professional Modifier None Typical Low $0.13 Median $0.13 Typical High $0.21 | Professional | None | $0.13 | $0.13 | $0.21 |
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 $3.09 Median $6.92 Typical High $8.91 | Facility | JZ · No drug discarded | $3.09 | $6.92 | $8.91 |
Where Idaho sits
The same service costs 4.7 times more in Oklahoma 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· 8th of 51
$0.18
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.