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 $21.88 Median $25.70 Typical High $34.67 | Professional | None | $21.88 | $25.70 | $34.67 |
BCBS Montana Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $44.67 Typical High $77.62 | Facility | None | $34.67 | $44.67 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None | $32.36 | $32.36 | $38.02 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $33.88 Median $42.66 Typical High $50.12 | Facility | None | $33.88 | $42.66 | $50.12 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $27.54 Median $42.66 Typical High $44.67 | Professional | None | $27.54 | $42.66 | $44.67 |
Providence Setting Facility Modifier None Typical Low $34.67 Median $44.67 Typical High $77.62 | Facility | None | $34.67 | $44.67 | $77.62 |
Providence Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $79.43 | Professional | None | $25.12 | $34.67 | $79.43 |
United Setting Professional Modifier None Typical Low $35.48 Median $40.74 Typical High $45.71 | Professional | None | $35.48 | $40.74 | $45.71 |
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 $10.96 Median $14.13 Typical High $17.38 | Professional | 52 · Reduced service | $10.96 | $14.13 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.75 Typical High $6.92 | Professional | 53 · Discontinued | $4.47 | $5.75 | $6.92 |
Where Montana sits
The same service costs 2.6 times more in Alaska than in Florida. 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· 13th of 51
$35.48
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.