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 Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $173.78 | Facility | None | $29.51 | $29.51 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $158.49 Typical High $275.42 | Professional | None | $114.82 | $158.49 | $275.42 |
BCBS Montana Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $323.59 | Professional | None | $218.78 | $218.78 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $389.05 | Facility | None | $218.78 | $218.78 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $213.80 Typical High $213.80 | Professional | None | $186.21 | $213.80 | $213.80 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $407.38 | Facility | None | $208.93 | $245.47 | $407.38 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $134.90 Median $223.87 Typical High $398.11 | Professional | None | $134.90 | $223.87 | $398.11 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $389.05 | Facility | None | $218.78 | $218.78 | $389.05 |
Providence Setting Professional Modifier None Typical Low $134.90 Median $204.17 Typical High $275.42 | Professional | None | $134.90 | $204.17 | $275.42 |
United Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $331.13 | Professional | None | $181.97 | $263.03 | $331.13 |
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 $54.95 Median $79.43 Typical High $128.82 | Professional | 52 · Reduced service | $54.95 | $79.43 | $128.82 |
Where Montana sits
The same service costs 2.8 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· 12th of 51
$214
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.