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 $186.21 Median $204.17 Typical High $269.15 | Professional | None | $186.21 | $204.17 | $269.15 |
BCBS Montana Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $389.05 | Facility | None | $323.59 | $323.59 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $323.59 Typical High $323.59 | Professional | None | $275.42 | $323.59 | $323.59 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $302.00 Median $346.74 Typical High $407.38 | Facility | None | $302.00 | $346.74 | $407.38 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $194.98 Median $302.00 Typical High $371.54 | Professional | None | $194.98 | $302.00 | $371.54 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $389.05 | Facility | None | $323.59 | $323.59 | $389.05 |
Providence Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $331.13 | Professional | None | $194.98 | $288.40 | $331.13 |
United Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $389.05 | Professional | None | $288.40 | $346.74 | $389.05 |
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 $85.11 Median $97.72 Typical High $144.54 | Professional | 52 · Reduced service | $85.11 | $97.72 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.90 Typical High $57.54 | Professional | 53 · Discontinued | $33.88 | $38.90 | $57.54 |
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
$324
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.