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 $141.25 Median $151.36 Typical High $208.93 | Professional | None | $141.25 | $151.36 | $208.93 |
BCBS Montana Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $302.00 | Facility | None | $251.19 | $251.19 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $251.19 | Professional | None | $213.80 | $251.19 | $251.19 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $229.09 Median $263.03 Typical High $309.03 | Facility | None | $229.09 | $263.03 | $309.03 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $281.84 | Professional | None | $147.91 | $229.09 | $281.84 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $302.00 | Facility | None | $251.19 | $251.19 | $302.00 |
Providence Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $251.19 | Professional | None | $147.91 | $223.87 | $251.19 |
United Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $288.40 | Professional | None | $218.78 | $263.03 | $288.40 |
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 $64.57 Median $74.13 Typical High $107.15 | Professional | 52 · Reduced service | $64.57 | $74.13 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $29.51 Typical High $43.65 | Professional | 53 · Discontinued | $25.70 | $29.51 | $43.65 |
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
$245
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.