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 $29.51 Median $38.02 Typical High $51.29 | Professional | None | $29.51 | $38.02 | $51.29 |
BCBS Montana Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $53.70 | Professional | None | $35.48 | $35.48 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $114.82 | Facility | None | $50.12 | $64.57 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $45.71 | Professional | None | $35.48 | $38.90 | $45.71 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $75.86 | Facility | None | $64.57 | $64.57 | $75.86 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $41.69 Median $64.57 Typical High $69.18 | Professional | None | $41.69 | $64.57 | $69.18 |
Providence Setting Facility Modifier None Typical Low $38.02 Median $57.54 Typical High $114.82 | Facility | None | $38.02 | $57.54 | $114.82 |
Providence Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $54.95 | Professional | None | $35.48 | $45.71 | $54.95 |
United Setting Professional Modifier None Typical Low $35.48 Median $39.81 Typical High $66.07 | Professional | None | $35.48 | $39.81 | $66.07 |
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 $15.85 Median $19.05 Typical High $25.70 | Professional | 52 · Reduced service | $15.85 | $19.05 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.59 Typical High $10.47 | Professional | 53 · Discontinued | $6.31 | $7.59 | $10.47 |
Where Montana sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 14th of 51
$39.81
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.