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 $15.49 Median $19.50 Typical High $28.84 | Professional | None | $15.49 | $19.50 | $28.84 |
BCBS Montana Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $63.10 | Facility | None | $26.30 | $26.30 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $19.50 Typical High $22.39 | Professional | None | $17.38 | $19.50 | $22.39 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $37.15 Median $56.23 Typical High $64.57 | Facility | None | $37.15 | $56.23 | $64.57 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $56.23 | Professional | None | $36.31 | $37.15 | $56.23 |
Providence Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $63.10 | Facility | None | $26.30 | $26.30 | $63.10 |
Providence Setting Professional Modifier None Typical Low $17.38 Median $19.50 Typical High $79.43 | Professional | None | $17.38 | $19.50 | $79.43 |
United Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $64.57 | Professional | None | $46.77 | $56.23 | $64.57 |
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 $16.60 Median $16.60 Typical High $16.60 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier HO · Master's level Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | HO · Master's level | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier HP · Doctoral level Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | HP · Doctoral level | $19.50 | $19.50 | $19.50 |
Where Montana sits
The same service costs 3.4 times more in Wyoming than in Alabama. 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· 36th of 51
$19.50
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.