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 $154.88 Median $218.78 Typical High $346.74 | Professional | None | $154.88 | $218.78 | $346.74 |
BCBS Montana Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $426.58 | Professional | None | $302.00 | $363.08 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $512.86 | Facility | None | $302.00 | $302.00 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $426.58 | Professional | None | $257.04 | $302.00 | $426.58 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $288.40 Median $331.13 Typical High $549.54 | Facility | None | $288.40 | $331.13 | $549.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $537.03 | Professional | None | $275.42 | $309.03 | $537.03 |
Providence Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $512.86 | Facility | None | $302.00 | $302.00 | $512.86 |
Providence Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $426.58 | Professional | None | $186.21 | $288.40 | $426.58 |
United Setting Professional Modifier None Typical Low $263.03 Median $331.13 Typical High $446.68 | Professional | None | $263.03 | $331.13 | $446.68 |
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 $74.13 Median $109.65 Typical High $173.78 | Professional | 52 · Reduced service | $74.13 | $109.65 | $173.78 |
Where Montana sits
The same service costs 2.7 times more in Alaska 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· 14th of 51
$302
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.