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 $724.44 Median $1,174.90 Typical High $1,479.11 | Professional | None | $724.44 | $1,174.90 | $1,479.11 |
BCBS Montana Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier RR · Rental Typical Low $72.44 Median $181.97 Typical High $181.97 | Facility | RR · Rental | $72.44 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | RR · Rental | $181.97 | $181.97 | $181.97 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $100.00 Median $125.89 Typical High $125.89 | Facility | None | $100.00 | $125.89 | $125.89 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $125.89 | Professional | None | $100.00 | $125.89 | $125.89 |
Providence Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $281.84 | Facility | None | $72.44 | $100.00 | $281.84 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $123.03 | Professional | None | $79.43 | $79.43 | $123.03 |
Providence Setting Professional Modifier RR · Rental Typical Low $104.71 Median $181.97 Typical High $181.97 | Professional | RR · Rental | $104.71 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $104.71 | Professional | None | $60.26 | $60.26 | $104.71 |
United Setting Professional Modifier RR · Rental Typical Low $37.15 Median $77.62 Typical High $114.82 | Professional | RR · Rental | $37.15 | $77.62 | $114.82 |
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 UE · Used equipment Typical Low $549.54 Median $933.25 Typical High $1,122.02 | Professional | UE · Used equipment | $549.54 | $933.25 | $1,122.02 |
Where Montana sits
The same service costs 13.2 times more in Wyoming 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
$102
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.