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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $11.48 Median $34.67 Typical High $34.67 | Professional | None | $11.48 | $34.67 | $34.67 |
BCBS Montana Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $89.13 | Facility | None | $48.98 | $48.98 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $40.74 Typical High $125.89 | Facility | None | $30.20 | $40.74 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $19.95 Typical High $53.70 | Professional | None | $10.47 | $19.95 | $53.70 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $21.38 Median $24.55 Typical High $29.51 | Facility | None | $21.38 | $24.55 | $29.51 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $15.85 Median $24.55 Typical High $26.30 | Professional | None | $15.85 | $24.55 | $26.30 |
Providence Setting Facility Modifier None Typical Low $30.20 Median $40.74 Typical High $125.89 | Facility | None | $30.20 | $40.74 | $125.89 |
Providence Setting Professional Modifier None Typical Low $18.62 Median $28.18 Typical High $31.62 | Professional | None | $18.62 | $28.18 | $31.62 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.71 Typical High $20.42 | Professional | None | $5.89 | $8.71 | $20.42 |
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 $5.75 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $5.75 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $2.29 | $6.92 | $6.92 |
Where Montana sits
The same service costs 9.3 times more in Alaska than in New Jersey. 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· 5th of 51
$24.55
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.