How much rates vary
Facilitymedian $741 · 10th to 90th $708 to $6,026Professionalmedian $741 · 10th to 90th $437 to $871
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 $436.52 Median $489.78 Typical High $1,412.54 | Professional | None | $436.52 | $489.78 | $1,412.54 |
BCBS Montana Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $6,025.60 Typical High $12,882.50 | Facility | None | $741.31 | $6,025.60 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $831.76 | Professional | None | $588.84 | $741.31 | $831.76 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $707.95 Median $724.44 Typical High $831.76 | Facility | None | $707.95 | $724.44 | $831.76 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $467.74 Median $707.95 Typical High $758.58 | Professional | None | $467.74 | $707.95 | $758.58 |
Providence Setting Facility Modifier None Typical Low $741.31 Median $6,025.60 Typical High $12,882.50 | Facility | None | $741.31 | $6,025.60 | $12,882.50 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $676.08 Typical High $758.58 | Professional | None | $79.43 | $676.08 | $758.58 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $2,238.72 Typical High $3,162.28 | Facility | None | $1,445.44 | $2,238.72 | $3,162.28 |
United Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $954.99 | Professional | None | $691.83 | $812.83 | $954.99 |
5 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 52 · Reduced service Typical Low $229.09 Median $707.95 Typical High $707.95 | Professional | 52 · Reduced service | $229.09 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $281.84 Typical High $281.84 | Professional | 53 · Discontinued | $91.20 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $331.13 Median $1,071.52 Typical High $1,071.52 | Professional | 54 · Surgery only | $331.13 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $213.80 Typical High $213.80 | Professional | 55 · Aftercare only | $69.18 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $45.71 Median $141.25 Typical High $141.25 | Professional | 56 · Pre-op care only | $45.71 | $141.25 | $141.25 |
Where Montana sits
The same service costs 5.9 times more in Alaska than in Montana. 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.
Physician feeFacility fee
AK $8,723MT $1,483
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.