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 $3.39 Median $3.80 Typical High $7.41 | Professional | None | $3.39 | $3.80 | $7.41 |
BCBS Montana Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $32.36 | Facility | None | $16.60 | $16.60 | $32.36 |
BCBS Montana Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $8.32 Typical High $23.44 | Facility | None | $5.75 | $8.32 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $7.59 | Professional | None | $6.46 | $6.46 | $7.59 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $6.76 Median $7.59 Typical High $8.71 | Facility | None | $6.76 | $7.59 | $8.71 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $4.79 Median $7.41 Typical High $7.94 | Professional | None | $4.79 | $7.41 | $7.94 |
Providence Setting Facility Modifier None Typical Low $5.75 Median $8.32 Typical High $23.44 | Facility | None | $5.75 | $8.32 | $23.44 |
Providence Setting Professional Modifier None Typical Low $3.24 Median $4.79 Typical High $5.37 | Professional | None | $3.24 | $4.79 | $5.37 |
United Setting Professional Modifier None Typical Low $5.62 Median $6.46 Typical High $7.76 | Professional | None | $5.62 | $6.46 | $7.76 |
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 $1.70 Median $2.09 Typical High $2.09 | Professional | 52 · Reduced service | $1.70 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.83 Typical High $0.83 | Professional | 53 · Discontinued | $0.68 | $0.83 | $0.83 |
Where Montana sits
The same service costs 2.3 times more in Kansas than in Pennsylvania. 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· 19th of 51
$5.62
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.