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 $47.86 Median $60.26 Typical High $81.28 | Professional | None | $47.86 | $60.26 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $117.49 | Facility | None | $97.72 | $97.72 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $109.65 | Professional | None | $79.43 | $97.72 | $109.65 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $109.65 | Facility | None | $95.50 | $95.50 | $109.65 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $102.33 | Professional | None | $61.66 | $95.50 | $102.33 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $117.49 | Facility | None | $97.72 | $97.72 | $117.49 |
Providence Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $102.33 | Professional | None | $67.61 | $93.33 | $102.33 |
United Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $123.03 | Professional | None | $89.13 | $109.65 | $123.03 |
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 $23.99 Median $30.20 Typical High $40.74 | Professional | 52 · Reduced service | $23.99 | $30.20 | $40.74 |
Where Montana sits
The same service costs 2.8 times more in Alaska than in Florida. 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
$97.72
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.