How much rates vary
Facilitymedian $219 · 10th to 90th $34 to $309Professionalmedian $234 · 10th to 90th $36 to $269
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 $109.65 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $109.65 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $23.99 Typical High $31.62 | Professional | 26 · Professional part | $11.75 | $23.99 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $112.20 | $144.54 |
BCBS Montana Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $1,288.25 | Facility | None | $512.86 | $512.86 | $1,288.25 |
BCBS Montana Setting Professional Modifier None (both parts) Typical Low $36.31 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $36.31 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $263.03 Typical High $398.11 | Facility | None | $177.83 | $263.03 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $208.93 | $234.42 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $40.74 | Professional | 26 · Professional part | $28.18 | $36.31 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $194.98 Typical High $223.87 | Professional | TC · Technical part | $173.78 | $194.98 | $223.87 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $33.88 Median $151.36 Typical High $239.88 | Facility | None | $33.88 | $151.36 | $239.88 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $21.88 Median $36.31 Typical High $234.42 | Professional | None (both parts) | $21.88 | $36.31 | $234.42 |
Providence Setting Facility Modifier None Typical Low $177.83 Median $263.03 Typical High $398.11 | Facility | None | $177.83 | $263.03 | $398.11 |
Providence Setting Professional Modifier None (both parts) Typical Low $154.88 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $154.88 | $234.42 | $269.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $36.31 Typical High $38.02 | Professional | 26 · Professional part | $24.55 | $36.31 | $38.02 |
Providence Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $194.98 Typical High $199.53 | Professional | TC · Technical part | $131.83 | $194.98 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $218.78 | $257.04 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $40.74 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $40.74 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $181.97 | $218.78 | $295.12 |
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 $57.54 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $57.54 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $22.91 | $34.67 | $34.67 |
Where Montana sits
The same service costs 3.7 times more in Alaska than in Utah. 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· 10th of 51
$234
AK $363UT $97.72
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.