How much rates vary
Facilitymedian $162 · 10th to 90th $110 to $204Professionalmedian $151 · 10th to 90th $100 to $178
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 $97.72 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $97.72 | $114.82 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $30.90 | $38.90 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $58.88 | $83.18 | $117.49 |
BCBS Montana Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $676.08 | Facility | None | $239.88 | $239.88 | $676.08 |
BCBS Montana Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $151.36 | Professional | None (both parts) | $58.88 | $58.88 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $134.90 Typical High $190.55 | Facility | None | $83.18 | $134.90 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $123.03 | $151.36 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $37.15 | $58.88 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $117.49 | Professional | TC · Technical part | $79.43 | $91.20 | $117.49 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $151.36 Median $162.18 Typical High $186.21 | Facility | None | $151.36 | $162.18 | $186.21 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $104.71 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $104.71 | $158.49 | $169.82 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $134.90 Typical High $190.55 | Facility | None | $83.18 | $134.90 | $190.55 |
Providence Setting Professional Modifier None (both parts) Typical Low $93.33 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $93.33 | $151.36 | $173.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $58.88 Typical High $60.26 | Professional | 26 · Professional part | $36.31 | $58.88 | $60.26 |
Providence Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $97.72 | Professional | TC · Technical part | $58.88 | $91.20 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $177.83 | Professional | None (both parts) | $100.00 | $100.00 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $35.48 | $35.48 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $114.82 | Professional | TC · Technical part | $64.57 | $64.57 | $114.82 |
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 $44.67 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $44.67 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $17.78 | $39.81 | $39.81 |
Where Montana sits
The same service costs 4.5 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
$151
AK $295TX $66.07
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.