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 $25.70 Median $35.48 Typical High $50.12 | Professional | None | $25.70 | $35.48 | $50.12 |
BCBS Montana Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $61.66 | Professional | None | $46.77 | $52.48 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $74.13 | Facility | None | $46.77 | $46.77 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $61.66 | Professional | None | $39.81 | $46.77 | $61.66 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $44.67 Median $51.29 Typical High $77.62 | Facility | None | $44.67 | $51.29 | $77.62 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $75.86 | Professional | None | $43.65 | $47.86 | $75.86 |
Providence Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $74.13 | Facility | None | $46.77 | $46.77 | $74.13 |
Providence Setting Professional Modifier None Typical Low $31.62 Median $48.98 Typical High $74.13 | Professional | None | $31.62 | $48.98 | $74.13 |
United Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $74.13 | Professional | None | $45.71 | $57.54 | $74.13 |
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 $12.30 Median $17.38 Typical High $25.12 | Professional | 52 · Reduced service | $12.30 | $17.38 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.92 Typical High $10.00 | Professional | 53 · Discontinued | $4.90 | $6.92 | $10.00 |
Where Montana sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 14th 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.