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 $57.54 Median $75.86 Typical High $107.15 | Professional | None | $57.54 | $75.86 | $107.15 |
BCBS Montana Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $128.82 | Professional | None | $107.15 | $117.49 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $154.88 | Facility | None | $117.49 | $117.49 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $128.82 | Professional | None | $100.00 | $117.49 | $128.82 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $112.20 Median $128.82 Typical High $162.18 | Facility | None | $112.20 | $128.82 | $162.18 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $158.49 | Professional | None | $93.33 | $120.23 | $158.49 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $154.88 | Facility | None | $117.49 | $117.49 | $154.88 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $131.83 | Professional | None | $79.43 | $109.65 | $131.83 |
United Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $151.36 | Professional | None | $109.65 | $131.83 | $151.36 |
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 $28.84 Median $38.02 Typical High $52.48 | Professional | 52 · Reduced service | $28.84 | $38.02 | $52.48 |
Where Montana sits
The same service costs 2.8 times more in Alaska than in New York. 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· 10th of 51
$117
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.