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 $8.13 Median $23.44 Typical High $23.44 | Professional | None | $8.13 | $23.44 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $18.20 Typical High $69.18 | Facility | None | $17.38 | $18.20 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $15.14 Median $20.42 Typical High $28.18 | Facility | None | $15.14 | $20.42 | $28.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $21.88 | Professional | None | $16.22 | $20.42 | $21.88 |
Providence Setting Facility Modifier None Typical Low $17.38 Median $18.20 Typical High $69.18 | Facility | None | $17.38 | $18.20 | $69.18 |
Providence Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $17.38 | Professional | None | $10.96 | $15.14 | $17.38 |
United Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $12.02 | Professional | None | $5.13 | $5.13 | $12.02 |
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 $4.07 Median $11.75 Typical High $11.75 | Professional | 52 · Reduced service | $4.07 | $11.75 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $4.68 Typical High $4.68 | Professional | 53 · Discontinued | $1.62 | $4.68 | $4.68 |
Where Montana sits
The same service costs 4.0 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· 3rd of 51
$17.38
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.