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 $54.95 Median $72.44 Typical High $93.33 | Professional | None | $54.95 | $72.44 | $93.33 |
BCBS Montana Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $112.20 | Professional | None | $100.00 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $131.83 | Facility | None | $112.20 | $112.20 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $112.20 Typical High $112.20 | Professional | None | $93.33 | $112.20 | $112.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $107.15 Median $125.89 Typical High $144.54 | Facility | None | $107.15 | $125.89 | $144.54 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $141.25 | Professional | None | $83.18 | $114.82 | $141.25 |
Providence Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $131.83 | Facility | None | $112.20 | $112.20 | $131.83 |
Providence Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $114.82 | Professional | None | $69.18 | $97.72 | $114.82 |
United Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $134.90 | Professional | None | $102.33 | $117.49 | $134.90 |
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 $26.92 Median $33.88 Typical High $45.71 | Professional | 52 · Reduced service | $26.92 | $33.88 | $45.71 |
Where Montana sits
The same service costs 3.0 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· 11th of 51
$105
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.