How much rates vary
Facilitymedian $120 · 10th to 90th $65 to $148Professionalmedian $85 · 10th to 90th $63 to $120
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 $457.09 Median $457.09 Typical High $812.83 | Facility | None | $457.09 | $457.09 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $89.13 | Professional | None (both parts) | $57.54 | $69.18 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $38.90 | Professional | 26 · Professional part | $25.12 | $30.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $50.12 | Professional | TC · Technical part | $33.11 | $37.15 | $50.12 |
BCBS Montana Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $223.87 | Facility | None | $147.91 | $147.91 | $223.87 |
BCBS Montana Setting Professional Modifier None (both parts) Typical Low $42.66 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $42.66 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $91.20 Typical High $117.49 | Facility | None | $46.77 | $91.20 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $85.11 | $85.11 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $36.31 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | TC · Technical part | $47.86 | $47.86 | $56.23 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $85.11 Median $120.23 Typical High $128.82 | Facility | None | $85.11 | $120.23 | $128.82 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $77.62 Median $120.23 Typical High $128.82 | Professional | None (both parts) | $77.62 | $120.23 | $128.82 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $91.20 Typical High $117.49 | Facility | None | $46.77 | $91.20 | $117.49 |
Providence Setting Professional Modifier None (both parts) Typical Low $63.10 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $63.10 | $85.11 | $100.00 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $28.84 | $37.15 | $44.67 |
Providence Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $47.86 Typical High $56.23 | Professional | TC · Technical part | $34.67 | $47.86 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $107.15 | Professional | None (both parts) | $83.18 | $95.50 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $46.77 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $54.95 | Professional | TC · Technical part | $42.66 | $50.12 | $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 $28.84 Median $34.67 Typical High $41.69 | Professional | 52 · Reduced service | $28.84 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $13.80 Typical High $16.60 | Professional | 53 · Discontinued | $11.48 | $13.80 | $16.60 |
Where Montana sits
The same service costs 3.6 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· 17th of 51
$85.11
MN $141TX $38.90
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.