How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
BCBS Montana Setting Facility Modifier None Typical Low $3.89 Median $4.57 Typical High $7.41 | Facility | None | $3.89 | $4.57 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $2.75 Median $4.07 Typical High $11.22 | Facility | None | $2.75 | $4.07 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
Providence Setting Facility Modifier None Typical Low $2.75 Median $4.07 Typical High $11.22 | Facility | None | $2.75 | $4.07 | $11.22 |
Providence Setting Professional Modifier None Typical Low $2.04 Median $79.43 Typical High $79.43 | Professional | None | $2.04 | $79.43 | $79.43 |
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 |
|---|---|---|---|---|---|
MountainHealth Co-op Setting Facility Modifier CSTM-00 Typical Low $4.07 Median $4.07 Typical High $6.61 | Facility | CSTM-00 | $4.07 | $4.07 | $6.61 |
Where Montana sits
The same service costs 21.4 times more in Kentucky than in Arkansas. 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
$14.45
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.