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 $26.30 | Professional | None | $15.49 | $19.50 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $38.02 | Facility | None | $18.62 | $18.62 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $15.85 | Professional | None | $12.30 | $15.14 | $15.85 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $23.44 Median $58.88 Typical High $67.61 | Facility | None | $23.44 | $58.88 | $67.61 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $57.54 | Professional | None | $12.59 | $12.59 | $57.54 |
Providence Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $38.02 | Facility | None | $18.62 | $18.62 | $38.02 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $79.43 | Professional | None | $12.30 | $15.14 | $79.43 |
United Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $39.81 | Professional | None | $29.51 | $33.88 | $39.81 |
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 $7.08 Median $7.08 Typical High $7.08 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HO · Master's level | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | HP · Doctoral level | $8.32 | $8.32 | $8.32 |
Where Montana sits
The same service costs 13.2 times more in North Carolina 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· 38th of 51
$15.14
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.