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 $213.80 Median $263.03 Typical High $346.74 | Professional | None | $213.80 | $263.03 | $346.74 |
BCBS Montana Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,819.70 | Facility | None | $1,023.29 | $1,023.29 | $1,819.70 |
BCBS Montana Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $467.74 | Facility | None | $389.05 | $389.05 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $398.11 | Professional | None | $338.84 | $389.05 | $398.11 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $363.08 Median $426.58 Typical High $489.78 | Facility | None | $363.08 | $426.58 | $489.78 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $446.68 | Professional | None | $239.88 | $363.08 | $446.68 |
Providence Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $467.74 | Facility | None | $389.05 | $389.05 | $467.74 |
Providence Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $407.38 | Professional | None | $239.88 | $354.81 | $407.38 |
United Setting Professional Modifier None Typical Low $371.54 Median $426.58 Typical High $478.63 | Professional | None | $371.54 | $426.58 | $478.63 |
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 $104.71 Median $120.23 Typical High $177.83 | Professional | 52 · Reduced service | $104.71 | $120.23 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $70.79 | Professional | 53 · Discontinued | $42.66 | $47.86 | $70.79 |
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
$389
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.