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 $234.42 Median $446.68 Typical High $575.44 | Professional | None | $234.42 | $446.68 | $575.44 |
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 RR · Rental Typical Low $34.67 Median $53.70 Typical High $53.70 | Facility | RR · Rental | $34.67 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $51.29 | $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 $34.67 Typical High $83.18 | Facility | None | $25.70 | $34.67 | $83.18 |
Providence Setting Professional Modifier None Typical Low $53.70 Median $79.43 Typical High $79.43 | Professional | None | $53.70 | $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 $22.91 Median $22.91 Typical High $51.29 | Professional | None | $22.91 | $22.91 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $22.91 Typical High $38.90 | Professional | RR · Rental | $22.91 | $22.91 | $38.90 |
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 $194.98 Median $363.08 Typical High $426.58 | Professional | UE · Used equipment | $194.98 | $363.08 | $426.58 |
Where Montana sits
The same service costs 36.3 times more in Vermont than in Hawaii. 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· 42nd 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.