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 $35.48 Median $51.29 Typical High $81.28 | Professional | None | $35.48 | $51.29 | $81.28 |
BCBS Montana Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $97.72 | Professional | None | $61.66 | $69.18 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $97.72 | Professional | None | $69.18 | $69.18 | $97.72 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $42.66 Median $70.79 Typical High $114.82 | Facility | None | $42.66 | $70.79 | $114.82 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $38.02 Median $66.07 Typical High $120.23 | Professional | None | $38.02 | $66.07 | $120.23 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Providence Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $97.72 | Professional | None | $45.71 | $69.18 | $97.72 |
United Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $112.20 | Professional | None | $69.18 | $91.20 | $112.20 |
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 $17.78 Median $25.12 Typical High $40.74 | Professional | 52 · Reduced service | $17.78 | $25.12 | $40.74 |
Where Montana sits
The same service costs 2.5 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· 8th of 51
$69.18
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.