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 $154.88 Median $169.82 Typical High $239.88 | Professional | None | $154.88 | $169.82 | $239.88 |
BCBS Montana Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $295.12 Typical High $295.12 | Professional | None | $162.18 | $295.12 | $295.12 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $177.83 Median $302.00 Typical High $323.59 | Facility | None | $177.83 | $302.00 | $323.59 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $323.59 | Professional | None | $177.83 | $218.78 | $323.59 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $269.15 Typical High $302.00 | Professional | None | $79.43 | $269.15 | $302.00 |
United Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $346.74 | Professional | None | $257.04 | $309.03 | $346.74 |
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 $75.86 Median $85.11 Typical High $120.23 | Professional | 52 · Reduced service | $75.86 | $85.11 | $120.23 |
Where Montana sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 7th of 51
$295
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.