How much rates vary
Facilitymedian $295 · 10th to 90th $120 to $525Professionalmedian $380 · 10th to 90th $155 to $479
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 (both parts) Typical Low $181.97 Median $288.40 Typical High $537.03 | Professional | None (both parts) | $181.97 | $288.40 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $208.93 | Professional | 26 · Professional part | $91.20 | $112.20 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $109.65 | $177.83 | $323.59 |
BCBS Montana Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $1,000.00 | Facility | None | $645.65 | $645.65 | $1,000.00 |
BCBS Montana Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $398.11 | Professional | None (both parts) | $154.88 | $154.88 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $302.00 Typical High $501.19 | Facility | None | $154.88 | $302.00 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $234.42 | $398.11 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $154.88 Typical High $169.82 | Professional | 26 · Professional part | $102.33 | $154.88 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $131.83 | $245.47 | $245.47 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $524.81 | Facility | None | $120.23 | $257.04 | $524.81 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $77.62 Median $158.49 Typical High $512.86 | Professional | None (both parts) | $77.62 | $158.49 | $512.86 |
Providence Setting Facility Modifier None Typical Low $154.88 Median $302.00 Typical High $501.19 | Facility | None | $154.88 | $302.00 | $501.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $251.19 Median $398.11 Typical High $416.87 | Professional | None (both parts) | $251.19 | $398.11 | $416.87 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $154.88 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $154.88 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $263.03 | Professional | TC · Technical part | $158.49 | $245.47 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $208.93 | $251.19 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $104.71 | $107.15 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $102.33 | $147.91 | $257.04 |
2 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 $100.00 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $100.00 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $40.74 | $107.15 | $107.15 |
Where Montana sits
The same service costs 5.4 times more in Alaska than in Texas. 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· 11th of 51
$380
AK $741TX $138
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.