How much rates vary
Facilitymedian $182 · 10th to 90th $155 to $407Professionalmedian $155 · 10th to 90th $102 to $224
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 $95.50 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $95.50 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $28.18 | $44.67 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $125.89 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $125.89 | $147.91 |
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 $41.69 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $41.69 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $204.17 Typical High $407.38 | Facility | None | $114.82 | $204.17 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $154.88 | $154.88 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $41.69 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $194.98 | Professional | TC · Technical part | $114.82 | $114.82 | $194.98 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $173.78 Median $177.83 Typical High $239.88 | Facility | None | $173.78 | $177.83 | $239.88 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $112.20 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $112.20 | $173.78 | $186.21 |
Providence Setting Facility Modifier None Typical Low $114.82 Median $204.17 Typical High $407.38 | Facility | None | $114.82 | $204.17 | $407.38 |
Providence Setting Professional Modifier None (both parts) Typical Low $102.33 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $102.33 | $154.88 | $169.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $45.71 | Professional | 26 · Professional part | $27.54 | $41.69 | $45.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $114.82 Typical High $125.89 | Professional | TC · Technical part | $74.13 | $114.82 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $177.83 | $186.21 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $46.77 | $46.77 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $131.83 | $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 $47.86 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $47.86 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $19.05 | $41.69 | $41.69 |
Where Montana sits
The same service costs 4.2 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· 31st of 51
$170
NE $380FL $91.20
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.