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 $144.54 Median $446.68 Typical High $575.44 | Professional | None | $144.54 | $446.68 | $575.44 |
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 RR · Rental Typical Low $33.11 Median $53.70 Typical High $53.70 | Facility | RR · Rental | $33.11 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier RR · Rental Typical Low $33.11 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $33.11 | $53.70 | $53.70 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $51.29 Median $63.10 Typical High $63.10 | Facility | None | $51.29 | $63.10 | $63.10 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $63.10 | Professional | None | $51.29 | $63.10 | $63.10 |
Providence Setting Facility Modifier None Typical Low $25.70 Median $35.48 Typical High $51.29 | Facility | None | $25.70 | $35.48 | $51.29 |
Providence Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $79.43 | Professional | None | $52.48 | $79.43 | $79.43 |
Providence Setting Professional Modifier RR · Rental Typical Low $40.74 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $40.74 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $17.78 Median $22.91 Typical High $38.90 | Professional | None | $17.78 | $22.91 | $38.90 |
United Setting Professional Modifier RR · Rental Typical Low $14.79 Median $22.91 Typical High $25.70 | Professional | RR · Rental | $14.79 | $22.91 | $25.70 |
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 $181.97 Median $363.08 Typical High $426.58 | Professional | UE · Used equipment | $181.97 | $363.08 | $426.58 |
Where Montana sits
The same service costs 29.5 times more in Wyoming than in Oklahoma. 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· 29th of 51
$63.10
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.