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 $44.67 Median $58.88 Typical High $79.43 | Professional | None | $44.67 | $58.88 | $79.43 |
BCBS Montana Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $81.28 | Professional | None | $75.86 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $112.20 Typical High $177.83 | Facility | None | $72.44 | $112.20 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $75.86 | Professional | None | $61.66 | $75.86 | $75.86 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $77.62 Median $91.20 Typical High $104.71 | Facility | None | $77.62 | $91.20 | $104.71 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $50.12 Median $77.62 Typical High $102.33 | Professional | None | $50.12 | $77.62 | $102.33 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $89.13 Typical High $177.83 | Facility | None | $44.67 | $89.13 | $177.83 |
Providence Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $89.13 | Professional | None | $57.54 | $75.86 | $89.13 |
United Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $112.20 | Professional | None | $79.43 | $97.72 | $112.20 |
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 $25.12 Median $29.51 Typical High $38.90 | Professional | 52 · Reduced service | $25.12 | $29.51 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $11.75 Typical High $15.49 | Professional | 53 · Discontinued | $10.00 | $11.75 | $15.49 |
Where Montana sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 7th of 51
$75.86
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.