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 $21.88 Median $28.84 Typical High $43.65 | Professional | None | $21.88 | $28.84 | $43.65 |
BCBS Montana Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $47.86 | Professional | None | $43.65 | $46.77 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $57.54 | Facility | None | $46.77 | $46.77 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $47.86 | Professional | None | $39.81 | $46.77 | $47.86 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $44.67 Median $52.48 Typical High $58.88 | Facility | None | $44.67 | $52.48 | $58.88 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $58.88 | Professional | None | $34.67 | $47.86 | $58.88 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $57.54 | Facility | None | $46.77 | $46.77 | $57.54 |
Providence Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $66.07 | Professional | None | $30.20 | $43.65 | $66.07 |
United Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $61.66 | Professional | None | $43.65 | $53.70 | $61.66 |
1 more rate 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 $11.75 Median $15.14 Typical High $21.88 | Professional | 52 · Reduced service | $11.75 | $15.14 | $21.88 |
Where Montana sits
The same service costs 2.5 times more in Alaska than in New York. 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· 6th of 51
$46.77
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.