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 $57.54 Median $169.82 Typical High $169.82 | Professional | None | $57.54 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $204.17 Typical High $630.96 | Facility | None | $151.36 | $204.17 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $100.00 Typical High $269.15 | Professional | None | $52.48 | $100.00 | $269.15 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $107.15 Median $120.23 Typical High $147.91 | Facility | None | $107.15 | $120.23 | $147.91 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $128.82 | Professional | None | $79.43 | $120.23 | $128.82 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $204.17 Typical High $630.96 | Facility | None | $151.36 | $204.17 | $630.96 |
Providence Setting Professional Modifier None Typical Low $93.33 Median $141.25 Typical High $154.88 | Professional | None | $93.33 | $141.25 | $154.88 |
United Setting Professional Modifier None Typical Low $32.36 Median $43.65 Typical High $102.33 | Professional | None | $32.36 | $43.65 | $102.33 |
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 $28.84 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $28.84 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $11.48 | $34.67 | $34.67 |
Where Montana sits
The same service costs 9.3 times more in Alaska than in Hawaii. 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· 6th of 51
$120
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.