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 $32.36 Median $50.12 Typical High $97.72 | Professional | None | $32.36 | $50.12 | $97.72 |
BCBS Montana Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $114.82 | Professional | None | $70.79 | $77.62 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $134.90 | Facility | None | $77.62 | $77.62 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $74.13 | Professional | None | $66.07 | $70.79 | $74.13 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $74.13 Median $87.10 Typical High $144.54 | Facility | None | $74.13 | $87.10 | $144.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $47.86 Median $79.43 Typical High $141.25 | Professional | None | $47.86 | $79.43 | $141.25 |
Providence Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $134.90 | Facility | None | $77.62 | $77.62 | $134.90 |
Providence Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $93.33 | Professional | None | $51.29 | $72.44 | $93.33 |
United Setting Professional Modifier None Typical Low $40.74 Median $67.61 Typical High $83.18 | Professional | None | $40.74 | $67.61 | $83.18 |
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 $16.22 Median $25.12 Typical High $48.98 | Professional | 52 · Reduced service | $16.22 | $25.12 | $48.98 |
Where Montana sits
The same service costs 4.1 times more in Minnesota 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· 8th of 51
$74.13
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.