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 $18.20 Median $22.91 Typical High $34.67 | Professional | None | $18.20 | $22.91 | $34.67 |
BCBS Montana Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $39.81 | Professional | None | $31.62 | $35.48 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $36.31 Typical High $39.81 | Professional | None | $35.48 | $36.31 | $39.81 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $26.30 Median $42.66 Typical High $58.88 | Facility | None | $26.30 | $42.66 | $58.88 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $26.30 Median $42.66 Typical High $60.26 | Professional | None | $26.30 | $42.66 | $60.26 |
Providence Setting Facility Modifier None Typical Low $26.30 Median $34.67 Typical High $35.48 | Facility | None | $26.30 | $34.67 | $35.48 |
Providence Setting Professional Modifier None Typical Low $23.99 Median $35.48 Typical High $41.69 | Professional | None | $23.99 | $35.48 | $41.69 |
United Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $47.86 | Professional | None | $33.11 | $40.74 | $47.86 |
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 $8.51 Median $11.75 Typical High $17.38 | Professional | 52 · Reduced service | $8.51 | $11.75 | $17.38 |
Where Montana sits
The same service costs 2.8 times more in North Dakota than in New Mexico. 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
$35.48
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.