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 $46.77 Median $61.66 Typical High $89.13 | Professional | None | $46.77 | $61.66 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $100.00 | Professional | None | $93.33 | $93.33 | $100.00 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $112.20 | Facility | None | $63.10 | $87.10 | $112.20 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $56.23 Median $81.28 Typical High $109.65 | Professional | None | $56.23 | $81.28 | $109.65 |
Providence Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Providence Setting Professional Modifier None Typical Low $61.66 Median $87.10 Typical High $102.33 | Professional | None | $61.66 | $87.10 | $102.33 |
United Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $117.49 | Professional | None | $85.11 | $102.33 | $117.49 |
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 $23.44 Median $30.90 Typical High $44.67 | Professional | 52 · Reduced service | $23.44 | $30.90 | $44.67 |
Where Montana sits
The same service costs 2.8 times more in Alaska than in Alabama. 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
$93.33
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.