How much rates vary
Facilitymedian $115 · 10th to 90th $102 to $123Professionalmedian $93 · 10th to 90th $71 to $123
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 $60.26 Median $75.86 Typical High $91.20 | Professional | None (both parts) | $60.26 | $75.86 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $19.50 | $24.55 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $53.70 Typical High $60.26 | Professional | TC · Technical part | $39.81 | $53.70 | $60.26 |
BCBS Montana Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $102.33 | Professional | None (both parts) | $33.11 | $33.11 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Facility | None | $102.33 | $102.33 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $102.33 | Professional | None (both parts) | $87.10 | $87.10 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | 26 · Professional part | $28.18 | $28.18 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $69.18 | Professional | TC · Technical part | $58.88 | $58.88 | $69.18 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $131.83 | Facility | None | $114.82 | $114.82 | $131.83 |
MountainHealth Co-op Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $123.03 | Professional | None (both parts) | $74.13 | $114.82 | $123.03 |
MountainHealth Co-op Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
MountainHealth Co-op Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $50.12 | $50.12 | $50.12 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Facility | None | $102.33 | $102.33 | $123.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $109.65 | Professional | None (both parts) | $70.79 | $93.33 | $109.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $35.48 | Professional | 26 · Professional part | $22.91 | $30.20 | $35.48 |
Providence Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $74.13 | Professional | TC · Technical part | $47.86 | $63.10 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $138.04 | Professional | None (both parts) | $107.15 | $125.89 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $42.66 | Professional | 26 · Professional part | $33.11 | $38.90 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $95.50 | Professional | TC · Technical part | $74.13 | $87.10 | $95.50 |
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 $29.51 Median $40.74 Typical High $45.71 | Professional | 52 · Reduced service | $29.51 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $16.60 Typical High $18.20 | Professional | 53 · Discontinued | $12.02 | $16.60 | $18.20 |
Where Montana sits
The same service costs 4.9 times more in Nebraska 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· 15th of 51
$93.33
NE $155UT $31.62
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.