How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $7.76 Median $12.59 Typical High $20.89 | Professional | None | $7.76 | $12.59 | $20.89 |
BCBS Montana Setting Professional Modifier None Typical Low $12.88 Median $25.70 Typical High $30.20 | Professional | None | $12.88 | $25.70 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $15.14 Typical High $30.20 | Professional | None | $14.13 | $15.14 | $30.20 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $9.33 Median $17.38 Typical High $32.36 | Facility | None | $9.33 | $17.38 | $32.36 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $8.91 Median $14.79 Typical High $31.62 | Professional | None | $8.91 | $14.79 | $31.62 |
Providence Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Providence Setting Professional Modifier None Typical Low $9.55 Median $17.78 Typical High $33.11 | Professional | None | $9.55 | $17.78 | $33.11 |
United Setting Professional Modifier None Typical Low $13.80 Median $19.05 Typical High $31.62 | Professional | None | $13.80 | $19.05 | $31.62 |
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 52 · Reduced service Typical Low $3.72 Median $6.03 Typical High $10.00 | Professional | 52 · Reduced service | $3.72 | $6.03 | $10.00 |
Where Montana sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 10th of 51
$17.78
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.