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 $48.98 Median $66.07 Typical High $81.28 | Professional | None | $48.98 | $66.07 | $81.28 |
BCBS Montana Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $112.20 | Professional | None | $100.00 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | None | $93.33 | $112.20 | $112.20 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $602.56 Typical High $724.44 | Facility | None | $588.84 | $602.56 | $724.44 |
Moda Health Setting Facility Modifier None Typical Low $446.68 Median $575.44 Typical High $891.25 | Facility | None | $446.68 | $575.44 | $891.25 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $125.89 | Professional | None | $77.62 | $117.49 | $125.89 |
Providence Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $114.82 | Professional | None | $74.13 | $100.00 | $114.82 |
Sanford Health Plan Setting Professional Modifier None Typical Low $102.33 Median $114.82 Typical High $120.23 | Professional | None | $102.33 | $114.82 | $120.23 |
United Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $117.49 | Professional | None | $85.11 | $102.33 | $117.49 |
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 |
|---|---|---|---|---|---|
Moda Health Setting Facility Modifier 25 · Same-day visit Typical Low $407.38 Median $676.08 Typical High $977.24 | Facility | 25 · Same-day visit | $407.38 | $676.08 | $977.24 |
MountainHealth Co-op Setting Facility Modifier CSTM-00 Typical Low $537.03 Median $537.03 Typical High $891.25 | Facility | CSTM-00 | $537.03 | $537.03 | $891.25 |
Where Montana sits
The same service costs 4.3 times more in Minnesota 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· 11th of 51
$102
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.