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 $7.41 Median $16.60 Typical High $26.92 | Professional | None | $7.41 | $16.60 | $26.92 |
BCBS Montana Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $60.26 | Facility | None | $33.11 | $33.11 | $60.26 |
BCBS Montana Setting Professional Modifier None Typical Low $12.59 Median $33.88 Typical High $33.88 | Professional | None | $12.59 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $17.38 Typical High $39.81 | Facility | None | $11.75 | $17.38 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $21.88 Typical High $33.88 | Professional | None | $10.72 | $21.88 | $33.88 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $12.02 Median $20.42 Typical High $39.81 | Facility | None | $12.02 | $20.42 | $39.81 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $12.02 Median $12.88 Typical High $39.81 | Professional | None | $12.02 | $12.88 | $39.81 |
Providence Setting Facility Modifier None Typical Low $11.75 Median $17.38 Typical High $39.81 | Facility | None | $11.75 | $17.38 | $39.81 |
Providence Setting Professional Modifier None Typical Low $10.72 Median $20.89 Typical High $50.12 | Professional | None | $10.72 | $20.89 | $50.12 |
United Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $35.48 | Professional | None | $12.88 | $21.88 | $35.48 |
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 $3.72 Median $8.32 Typical High $13.49 | Professional | 52 · Reduced service | $3.72 | $8.32 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $3.31 Typical High $5.50 | Professional | 53 · Discontinued | $1.48 | $3.31 | $5.50 |
Where Montana sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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
$20.89
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.