How much rates vary
Facilitymedian $51 · 10th to 90th $42 to $158Professionalmedian $38 · 10th to 90th $25 to $54
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 Facility Modifier None Typical Low $165.96 Median $338.84 Typical High $1,698.24 | Facility | None | $165.96 | $338.84 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $35.48 Typical High $51.29 | Professional | None (both parts) | $26.92 | $35.48 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $7.76 | $8.91 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $38.02 | Professional | TC · Technical part | $19.05 | $24.55 | $38.02 |
BCBS Montana Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $194.98 | Facility | None | $79.43 | $79.43 | $194.98 |
BCBS Montana Setting Professional Modifier None (both parts) Typical Low $12.59 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $12.59 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $51.29 Typical High $81.28 | Facility | None | $28.18 | $51.29 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | None (both parts) | $36.31 | $36.31 | $42.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $12.59 | Professional | 26 · Professional part | $10.72 | $10.72 | $12.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | TC · Technical part | $25.70 | $25.70 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $60.26 | Facility | None | $51.29 | $51.29 | $60.26 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $33.11 Median $51.29 Typical High $53.70 | Professional | None (both parts) | $33.11 | $51.29 | $53.70 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $9.33 | $9.33 | $9.33 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $23.44 | $23.44 | $23.44 |
Providence Setting Facility Modifier None Typical Low $28.18 Median $51.29 Typical High $81.28 | Facility | None | $28.18 | $51.29 | $81.28 |
Providence Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $42.66 | Professional | None (both parts) | $27.54 | $36.31 | $42.66 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.96 Typical High $12.88 | Professional | 26 · Professional part | $8.32 | $10.96 | $12.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $30.20 | Professional | TC · Technical part | $19.50 | $25.70 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $63.10 | Professional | None (both parts) | $48.98 | $57.54 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.80 Typical High $15.49 | Professional | 26 · Professional part | $11.75 | $13.80 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $47.86 | Professional | TC · Technical part | $36.31 | $43.65 | $47.86 |
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 $12.30 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $12.30 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $5.01 | $7.08 | $7.08 |
Where Montana sits
The same service costs 2.5 times more in Minnesota 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· 22nd of 51
$38.02
MN $67.61TX $26.92
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.