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 $26.30 Median $36.31 Typical High $69.18 | Professional | None | $26.30 | $36.31 | $69.18 |
BCBS Montana Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $75.86 | Professional | None | $48.98 | $54.95 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $89.13 | Facility | None | $54.95 | $54.95 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | None | $46.77 | $48.98 | $48.98 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $52.48 Median $60.26 Typical High $93.33 | Facility | None | $52.48 | $60.26 | $93.33 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $33.88 Median $56.23 Typical High $91.20 | Professional | None | $33.88 | $56.23 | $91.20 |
Providence Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $89.13 | Facility | None | $54.95 | $54.95 | $89.13 |
Providence Setting Professional Modifier None Typical Low $37.15 Median $48.98 Typical High $75.86 | Professional | None | $37.15 | $48.98 | $75.86 |
United Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $70.79 | Professional | None | $43.65 | $58.88 | $70.79 |
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 $13.49 Median $18.20 Typical High $29.51 | Professional | 52 · Reduced service | $13.49 | $18.20 | $29.51 |
Where Montana sits
The same service costs 3.5 times more in Alaska 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
$48.98
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.