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 Facility Modifier None Typical Low $20,417.38 Median $20,417.38 Typical High $20,417.38 | Facility | None | $20,417.38 | $20,417.38 | $20,417.38 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $24,547.09 | Facility | None | $12,022.64 | $12,022.64 | $24,547.09 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Providence Setting Facility Modifier None Typical Low $12,022.64 Median $12,022.64 Typical High $24,547.09 | Facility | None | $12,022.64 | $12,022.64 | $24,547.09 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | None | $79.43 | $79.43 | $85.11 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $5,623.41 Typical High $25,118.86 | Facility | None | $3,388.44 | $5,623.41 | $25,118.86 |
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 50 · Both sides Typical Low $35,481.34 Median $35,481.34 Typical High $57,543.99 | Facility | 50 · Both sides | $35,481.34 | $35,481.34 | $57,543.99 |
Where Montana sits
The same service costs 281.8 times more in Minnesota than in Montana. 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· 51st of 51
$79.43
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.