How much rates vary
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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $5,623.41 | Facility | None | $1,445.44 | $1,862.09 | $5,623.41 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,905.46 | Facility | None | $1,621.81 | $1,621.81 | $1,905.46 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,737.80 | Professional | None | $1,047.13 | $1,071.52 | $1,737.80 |
Providence Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $5,623.41 | Facility | None | $1,445.44 | $1,862.09 | $5,623.41 |
Providence Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $1,412.54 | Professional | None | $831.76 | $1,174.90 | $1,412.54 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,122.02 Typical High $1,584.89 | Professional | None | $1,071.52 | $1,122.02 | $1,584.89 |
1 more rate 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 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $190.55 | Professional | 53 · Discontinued | $141.25 | $141.25 | $190.55 |
Where Montana sits
The same service costs 64.6 times more in Alaska than in New York. 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· 14th of 51
$1,413
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.