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 $107.15 Median $162.18 Typical High $338.84 | Professional | None | $107.15 | $162.18 | $338.84 |
BCBS Montana Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $181.97 | Professional | None | $154.88 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $204.17 | Professional | None | $154.88 | $181.97 | $204.17 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $169.82 Median $181.97 Typical High $208.93 | Facility | None | $169.82 | $181.97 | $208.93 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $117.49 Median $181.97 Typical High $194.98 | Professional | None | $117.49 | $181.97 | $194.98 |
Providence Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $169.82 Typical High $190.55 | Professional | None | $79.43 | $169.82 | $190.55 |
United Setting Facility Modifier None Typical Low $602.56 Median $1,000.00 Typical High $1,862.09 | Facility | None | $602.56 | $1,000.00 | $1,862.09 |
United Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $234.42 | Professional | None | $169.82 | $199.53 | $234.42 |
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 54 · Surgery only Typical Low $81.28 Median $257.04 Typical High $257.04 | Professional | 54 · Surgery only | $81.28 | $257.04 | $257.04 |
Where Montana sits
The same service costs 4.9 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· 18th of 51
$182
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.