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 $24.55 Median $28.84 Typical High $33.88 | Professional | None | $24.55 | $28.84 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $64.57 Typical High $177.83 | Facility | None | $46.77 | $64.57 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $51.29 | Professional | None | $43.65 | $43.65 | $51.29 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $33.11 Median $60.26 Typical High $70.79 | Facility | None | $33.11 | $60.26 | $70.79 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $38.90 Median $60.26 Typical High $64.57 | Professional | None | $38.90 | $60.26 | $64.57 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $64.57 Typical High $177.83 | Facility | None | $46.77 | $64.57 | $177.83 |
Providence Setting Professional Modifier None Typical Low $28.84 Median $43.65 Typical High $48.98 | Professional | None | $28.84 | $43.65 | $48.98 |
United Setting Professional Modifier None Typical Low $38.90 Median $48.98 Typical High $54.95 | Professional | None | $38.90 | $48.98 | $54.95 |
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 $12.88 Median $16.98 Typical High $19.50 | Professional | 52 · Reduced service | $12.88 | $16.98 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.76 Typical High $7.94 | Professional | 53 · Discontinued | $5.13 | $6.76 | $7.94 |
Where Montana sits
The same service costs 3.6 times more in Minnesota than in Kentucky. 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· 11th of 51
$48.98
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.