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 $42.66 Median $56.23 Typical High $70.79 | Professional | None | $42.66 | $56.23 | $70.79 |
BCBS Montana Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Facility | None | $74.13 | $74.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $74.13 | Professional | None | $63.10 | $63.10 | $74.13 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $89.13 Median $91.20 Typical High $102.33 | Facility | None | $89.13 | $91.20 | $102.33 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $95.50 | Professional | None | $57.54 | $89.13 | $95.50 |
Providence Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Facility | None | $74.13 | $74.13 | $89.13 |
Providence Setting Professional Modifier None Typical Low $56.23 Median $74.13 Typical High $87.10 | Professional | None | $56.23 | $74.13 | $87.10 |
United Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $102.33 | Professional | None | $81.28 | $91.20 | $102.33 |
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 $21.38 Median $30.20 Typical High $35.48 | Professional | 52 · Reduced service | $21.38 | $30.20 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $12.02 Typical High $14.13 | Professional | 53 · Discontinued | $8.51 | $12.02 | $14.13 |
Where Montana sits
The same service costs 2.6 times more in Nebraska 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· 12th of 51
$74.13
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.