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 $141.25 Median $229.09 Typical High $288.40 | Professional | None | $141.25 | $229.09 | $288.40 |
BCBS Montana Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
BCBS Montana Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None | $107.15 | $125.89 | $125.89 |
Cigna Setting Professional Modifier RR · Rental Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | RR · Rental | $31.62 | $32.36 | $32.36 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $22.91 Median $28.84 Typical High $28.84 | Facility | None | $22.91 | $28.84 | $28.84 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $28.84 | Professional | None | $22.91 | $28.84 | $28.84 |
Providence Setting Facility Modifier None Typical Low $25.70 Median $40.74 Typical High $158.49 | Facility | None | $25.70 | $40.74 | $158.49 |
Providence Setting Professional Modifier None Typical Low $28.18 Median $79.43 Typical High $107.15 | Professional | None | $28.18 | $79.43 | $107.15 |
Providence Setting Professional Modifier RR · Rental Typical Low $20.42 Median $32.36 Typical High $32.36 | Professional | RR · Rental | $20.42 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $28.84 | Professional | None | $11.75 | $11.75 | $28.84 |
United Setting Professional Modifier RR · Rental Typical Low $11.75 Median $17.38 Typical High $19.50 | Professional | RR · Rental | $11.75 | $17.38 | $19.50 |
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 $104.71 Median $177.83 Typical High $218.78 | Professional | UE · Used equipment | $104.71 | $177.83 | $218.78 |
Where Montana sits
The same service costs 12.3 times more in Wyoming than in Illinois. 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· 47th of 51
$28.84
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.