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 $120.23 Median $128.82 Typical High $181.97 | Professional | None | $120.23 | $128.82 | $181.97 |
BCBS Montana Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $251.19 | Facility | None | $208.93 | $208.93 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $213.80 | Professional | None | $177.83 | $208.93 | $213.80 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $190.55 Median $218.78 Typical High $257.04 | Facility | None | $190.55 | $218.78 | $257.04 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $123.03 Median $190.55 Typical High $234.42 | Professional | None | $123.03 | $190.55 | $234.42 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $251.19 | Facility | None | $208.93 | $208.93 | $251.19 |
Providence Setting Professional Modifier None Typical Low $125.89 Median $190.55 Typical High $213.80 | Professional | None | $125.89 | $190.55 | $213.80 |
United Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $245.47 | Professional | None | $194.98 | $218.78 | $245.47 |
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 $54.95 Median $63.10 Typical High $93.33 | Professional | 52 · Reduced service | $54.95 | $63.10 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.70 Typical High $37.15 | Professional | 53 · Discontinued | $21.88 | $25.70 | $37.15 |
Where Montana sits
The same service costs 2.8 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· 10th of 51
$209
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.