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 $18.20 Median $20.89 Typical High $30.90 | Professional | None | $18.20 | $20.89 | $30.90 |
BCBS Montana Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $31.62 | Professional | None | $30.20 | $30.20 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $37.15 | Facility | None | $31.62 | $31.62 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | None | $26.92 | $26.92 | $31.62 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $42.66 | Facility | None | $37.15 | $37.15 | $42.66 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $23.99 Median $37.15 Typical High $39.81 | Professional | None | $23.99 | $37.15 | $39.81 |
Providence Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $37.15 | Facility | None | $31.62 | $31.62 | $37.15 |
Providence Setting Professional Modifier None Typical Low $19.50 Median $26.92 Typical High $79.43 | Professional | None | $19.50 | $26.92 | $79.43 |
United Setting Professional Modifier None Typical Low $19.05 Median $31.62 Typical High $35.48 | Professional | None | $19.05 | $31.62 | $35.48 |
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 $8.51 Median $10.72 Typical High $12.02 | Professional | 52 · Reduced service | $8.51 | $10.72 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.27 Typical High $4.79 | Professional | 53 · Discontinued | $3.39 | $4.27 | $4.79 |
Where Montana sits
The same service costs 2.3 times more in Minnesota 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· 9th of 51
$30.20
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.