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 Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $1,174.90 | Professional | None | $380.19 | $416.87 | $1,174.90 |
BCBS Montana Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $645.65 Typical High $707.95 | Professional | None | $436.52 | $645.65 | $707.95 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $602.56 Median $676.08 Typical High $758.58 | Facility | None | $602.56 | $676.08 | $758.58 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $426.58 Median $660.69 Typical High $707.95 | Professional | None | $426.58 | $660.69 | $707.95 |
Providence Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $645.65 Typical High $660.69 | Professional | None | $79.43 | $645.65 | $660.69 |
United Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $776.25 | Professional | None | $588.84 | $691.83 | $776.25 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $263.03 Median $831.76 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $263.03 | $831.76 | $831.76 |
Where Montana sits
The same service costs 4.4 times more in Alaska than in Utah. 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.
Montana· 15th of 51
$646
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.