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 $954.99 Median $1,479.11 Typical High $1,862.09 | Professional | None | $954.99 | $1,479.11 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | None | $794.33 | $794.33 | $933.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | RR · Rental | $229.09 | $229.09 | $229.09 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $186.21 | Facility | None | $138.04 | $169.82 | $186.21 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $169.82 | Professional | None | $138.04 | $169.82 | $169.82 |
MountainHealth Co-op Setting Professional Modifier RR · Rental Typical Low $138.04 Median $151.36 Typical High $151.36 | Professional | RR · Rental | $138.04 | $151.36 | $151.36 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $186.21 Typical High $1,000.00 | Facility | None | $100.00 | $186.21 | $1,000.00 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $177.83 | Professional | None | $79.43 | $79.43 | $177.83 |
Providence Setting Professional Modifier RR · Rental Typical Low $134.90 Median $229.09 Typical High $229.09 | Professional | RR · Rental | $134.90 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $724.44 | Professional | None | $77.62 | $77.62 | $724.44 |
United Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $128.82 | Professional | RR · Rental | $77.62 | $77.62 | $128.82 |
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 $707.95 Median $1,202.26 Typical High $1,412.54 | Professional | UE · Used equipment | $707.95 | $1,202.26 | $1,412.54 |
Where Montana sits
The same service costs 10.0 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
$151
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.