How much rates vary
Facilitymedian $170 · 10th to 90th $135 to $269Professionalmedian $158 · 10th to 90th $107 to $204
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 $93.33 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $93.33 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $30.20 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $147.91 | $147.91 |
BCBS Montana Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $933.25 | Facility | None | $380.19 | $380.19 | $933.25 |
BCBS Montana Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $165.96 Typical High $269.15 | Facility | None | $117.49 | $165.96 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $138.04 | $158.49 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $44.67 | Professional | 26 · Professional part | $28.18 | $39.81 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $102.33 | $117.49 | $158.49 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $151.36 Median $169.82 Typical High $199.53 | Facility | None | $151.36 | $169.82 | $199.53 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $181.97 | Professional | None (both parts) | $109.65 | $169.82 | $181.97 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $165.96 Typical High $269.15 | Facility | None | $117.49 | $165.96 | $269.15 |
Providence Setting Professional Modifier None (both parts) Typical Low $100.00 Median $158.49 Typical High $165.96 | Professional | None (both parts) | $100.00 | $158.49 | $165.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $39.81 Typical High $41.69 | Professional | 26 · Professional part | $25.12 | $39.81 | $41.69 |
Providence Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $117.49 Typical High $125.89 | Professional | TC · Technical part | $74.13 | $117.49 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $134.90 | $141.25 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $27.54 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $114.82 | $199.53 |
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 $46.77 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $46.77 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $18.62 | $40.74 | $40.74 |
Where Montana sits
The same service costs 4.0 times more in Alaska 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· 13th of 51
$158
AK $302FL $75.86
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.