How much rates vary
Facilitymedian $85 · 10th to 90th $32 to $575Professionalmedian $269 · 10th to 90th $23 to $575
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 Professional Modifier None Typical Low $251.19 Median $575.44 Typical High $575.44 | Professional | None | $251.19 | $575.44 | $575.44 |
BCBS Idaho Setting Facility Modifier None Typical Low $53.70 Median $67.61 Typical High $812.83 | Facility | None | $53.70 | $67.61 | $812.83 |
BCBS Idaho Setting Professional Modifier None Typical Low $53.70 Median $81.28 Typical High $562.34 | Professional | None | $53.70 | $81.28 | $562.34 |
BCBS Idaho Setting Professional Modifier RR · Rental Typical Low $35.48 Median $53.70 Typical High $97.72 | Professional | RR · Rental | $35.48 | $53.70 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $316.23 | Facility | None | $31.62 | $31.62 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
Moda Health Setting Facility Modifier None Typical Low $15.14 Median $288.40 Typical High $575.44 | Facility | None | $15.14 | $288.40 | $575.44 |
Moda Health Setting Professional Modifier None Typical Low $251.19 Median $575.44 Typical High $575.44 | Professional | None | $251.19 | $575.44 | $575.44 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $45.71 Median $51.29 Typical High $53.70 | Professional | RR · Rental | $45.71 | $51.29 | $53.70 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $44.67 Typical High $457.09 | Professional | None | $30.20 | $44.67 | $457.09 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $12.59 Median $63.10 Typical High $66.07 | Professional | None | $12.59 | $63.10 | $66.07 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $72.44 | Facility | RR · Rental | $47.86 | $47.86 | $72.44 |
Regence BlueShield Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $53.70 | Professional | RR · Rental | $35.48 | $35.48 | $53.70 |
Select Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Select Health Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $87.10 | Professional | None | $41.69 | $51.29 | $87.10 |
Select Health Setting Professional Modifier RR · Rental Typical Low $43.65 Median $51.29 Typical High $87.10 | Professional | RR · Rental | $43.65 | $51.29 | $87.10 |
United Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $51.29 | Professional | None | $17.38 | $22.91 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $28.18 Typical High $34.67 | Professional | RR · Rental | $22.91 | $28.18 | $34.67 |
7 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $426.58 Typical High $426.58 | Professional | UE · Used equipment | $186.21 | $426.58 | $426.58 |
BCBS Idaho Setting Professional Modifier 78 · Unplanned return to OR Typical Low $38.02 Median $38.02 Typical High $39.81 | Professional | 78 · Unplanned return to OR | $38.02 | $38.02 | $39.81 |
BCBS Idaho Setting Professional Modifier MS · Maintenance fee Typical Low $53.70 Median $56.23 Typical High $56.23 | Professional | MS · Maintenance fee | $53.70 | $56.23 | $56.23 |
BCBS Idaho Setting Professional Modifier QB · Oxygen over 4 L/min + portable Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | QB · Oxygen over 4 L/min + portable | $93.33 | $97.72 | $97.72 |
BCBS Idaho Setting Professional Modifier QF · Oxygen over 4 L/min at rest + portable Typical Low $93.33 Median $97.72 Typical High $97.72 | Professional | QF · Oxygen over 4 L/min at rest + portable | $93.33 | $97.72 | $97.72 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $426.58 Typical High $426.58 | Professional | UE · Used equipment | $186.21 | $426.58 | $426.58 |
Select Health Setting Professional Modifier MS · Maintenance fee Typical Low $41.69 Median $89.13 Typical High $177.83 | Professional | MS · Maintenance fee | $41.69 | $89.13 | $177.83 |
Where Idaho sits
The same service costs 30.2 times more in Wyoming than in Hawaii. 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· 31st of 51
$263
WY $676HI $22.39
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.