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 $338.84 Median $416.87 Typical High $562.34 | Professional | None | $338.84 | $416.87 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $758.58 | Facility | None | $630.96 | $630.96 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $630.96 Typical High $645.65 | Professional | None | $537.03 | $630.96 | $645.65 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $588.84 Median $676.08 Typical High $794.33 | Facility | None | $588.84 | $676.08 | $794.33 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $724.44 | Professional | None | $380.19 | $588.84 | $724.44 |
Providence Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $758.58 | Facility | None | $630.96 | $630.96 | $758.58 |
Providence Setting Professional Modifier None Typical Low $380.19 Median $575.44 Typical High $645.65 | Professional | None | $380.19 | $575.44 | $645.65 |
United Setting Professional Modifier None Typical Low $588.84 Median $691.83 Typical High $758.58 | Professional | None | $588.84 | $691.83 | $758.58 |
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 $165.96 Median $194.98 Typical High $281.84 | Professional | 52 · Reduced service | $165.96 | $194.98 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $77.62 Typical High $112.20 | Professional | 53 · Discontinued | $67.61 | $77.62 | $112.20 |
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
$631
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.