How much rates vary
Facilitymedian $123 · 10th to 90th $105 to $219Professionalmedian $105 · 10th to 90th $68 to $219
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 $61.66 Median $100.00 Typical High $128.82 | Professional | None (both parts) | $61.66 | $100.00 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $33.11 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $67.61 | $81.28 |
BCBS Montana Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $1,122.02 | Facility | None | $467.74 | $467.74 | $1,122.02 |
BCBS Montana Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $218.78 | Professional | None (both parts) | $36.31 | $36.31 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $128.82 Typical High $218.78 | Facility | None | $67.61 | $128.82 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $97.72 | $104.71 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $36.31 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $128.82 | Professional | TC · Technical part | $64.57 | $67.61 | $128.82 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $147.91 | Facility | None | $120.23 | $120.23 | $147.91 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $128.82 | Professional | None (both parts) | $77.62 | $120.23 | $128.82 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $128.82 Typical High $218.78 | Facility | None | $67.61 | $128.82 | $218.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $63.10 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $63.10 | $104.71 | $104.71 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $21.88 | $36.31 | $36.31 |
Providence Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $40.74 | $67.61 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $309.03 | Professional | None (both parts) | $173.78 | $173.78 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $36.31 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $134.90 | $138.04 | $245.47 |
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 $30.90 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $30.90 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $12.30 | $25.70 | $25.70 |
Where Montana sits
The same service costs 6.6 times more in Nebraska than in Florida. 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· 41st of 51
$105
NE $363FL $54.95
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.