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 $91.20 Median $112.20 Typical High $151.36 | Professional | None | $91.20 | $112.20 | $151.36 |
BCBS Montana Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $190.55 | Professional | None | $112.20 | $123.03 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $223.87 Typical High $331.13 | Facility | None | $158.49 | $223.87 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $144.54 | Professional | None | $120.23 | $123.03 | $144.54 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $169.82 Median $199.53 Typical High $229.09 | Facility | None | $169.82 | $199.53 | $229.09 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $223.87 | Professional | None | $109.65 | $169.82 | $223.87 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $169.82 Typical High $331.13 | Facility | None | $100.00 | $169.82 | $331.13 |
Providence Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $169.82 | Professional | None | $102.33 | $123.03 | $169.82 |
United Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $204.17 | Professional | None | $128.82 | $158.49 | $204.17 |
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 $48.98 Median $58.88 Typical High $75.86 | Professional | 52 · Reduced service | $48.98 | $58.88 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.99 Typical High $30.20 | Professional | 53 · Discontinued | $19.95 | $23.99 | $30.20 |
Where Montana sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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· 17th of 51
$123
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.