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 $39.81 Median $53.70 Typical High $81.28 | Professional | None | $39.81 | $53.70 | $81.28 |
BCBS Montana Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | None | $52.48 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $112.20 | Facility | None | $79.43 | $79.43 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $67.61 | Professional | None | $61.66 | $67.61 | $67.61 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $75.86 Median $87.10 Typical High $114.82 | Facility | None | $75.86 | $87.10 | $114.82 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $48.98 Median $75.86 Typical High $112.20 | Professional | None | $48.98 | $75.86 | $112.20 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $112.20 | Facility | None | $79.43 | $79.43 | $112.20 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $81.28 | Professional | None | $53.70 | $67.61 | $81.28 |
United Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $112.20 | Professional | None | $81.28 | $95.50 | $112.20 |
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 $19.95 Median $26.92 Typical High $40.74 | Professional | 52 · Reduced service | $19.95 | $26.92 | $40.74 |
Where Montana sits
The same service costs 5.0 times more in Alaska than in Indiana. 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
$61.66
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.