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 $16.98 Median $21.38 Typical High $58.88 | Professional | None | $16.98 | $21.38 | $58.88 |
BCBS Montana Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $173.78 | Facility | None | $74.13 | $74.13 | $173.78 |
BCBS Montana Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $29.51 | Professional | None | $28.18 | $28.18 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $58.88 | Facility | None | $26.92 | $34.67 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $29.51 | Professional | None | $25.70 | $28.18 | $29.51 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $27.54 Median $33.11 Typical High $42.66 | Facility | None | $27.54 | $33.11 | $42.66 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $17.78 Median $27.54 Typical High $33.88 | Professional | None | $17.78 | $27.54 | $33.88 |
Providence Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $58.88 | Facility | None | $26.92 | $34.67 | $58.88 |
Providence Setting Professional Modifier None Typical Low $18.20 Median $28.18 Typical High $79.43 | Professional | None | $18.20 | $28.18 | $79.43 |
United Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $83.18 | Professional | None | $28.18 | $33.11 | $83.18 |
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 $8.32 Median $9.77 Typical High $20.42 | Professional | 52 · Reduced service | $8.32 | $9.77 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.89 Typical High $8.32 | Professional | 53 · Discontinued | $3.39 | $3.89 | $8.32 |
Where Montana sits
The same service costs 2.7 times more in Alaska than in Maryland. 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· 15th of 51
$28.18
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.