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 $16.22 Median $19.50 Typical High $38.90 | Professional | None | $16.22 | $19.50 | $38.90 |
BCBS Montana Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $91.20 Typical High $186.21 | Facility | None | $53.70 | $91.20 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $45.71 | Professional | None | $34.67 | $38.02 | $45.71 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $38.90 Median $67.61 Typical High $77.62 | Facility | None | $38.90 | $67.61 | $77.62 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $66.07 | Professional | None | $37.15 | $37.15 | $66.07 |
Providence Setting Facility Modifier None Typical Low $33.11 Median $53.70 Typical High $186.21 | Facility | None | $33.11 | $53.70 | $186.21 |
Providence Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $79.43 | Professional | None | $34.67 | $38.02 | $79.43 |
United Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $93.33 | Professional | None | $67.61 | $81.28 | $93.33 |
3 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $25.12 |
United Setting Professional Modifier HO · Master's level Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | HO · Master's level | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier HP · Doctoral level Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | HP · Doctoral level | $30.20 | $30.20 | $30.20 |
Where Montana sits
The same service costs 4.8 times more in Wyoming than in West Virginia. 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· 16th of 51
$38.02
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.