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 $0.85 Median $1.07 Typical High $1.07 | Professional | None | $0.85 | $1.07 | $1.07 |
Cigna Setting Facility Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Facility | None | $1.10 | $1.10 | $1.10 |
Cigna Setting Professional Modifier None Typical Low $0.85 Median $1.10 Typical High $1.10 | Professional | None | $0.85 | $1.10 | $1.10 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $0.85 Median $1.07 Typical High $1.62 | Facility | None | $0.85 | $1.07 | $1.62 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1.00 Median $1.12 Typical High $1.26 | Professional | None | $1.00 | $1.12 | $1.26 |
Providence Setting Facility Modifier None Typical Low $1.10 Median $1.10 Typical High $1.10 | Facility | None | $1.10 | $1.10 | $1.10 |
Providence Setting Professional Modifier None Typical Low $1.00 Median $1.10 Typical High $1.10 | Professional | None | $1.00 | $1.10 | $1.10 |
United Setting Professional Modifier None Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | None | $1.00 | $1.00 | $1.00 |
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 $0.43 Median $0.54 Typical High $0.54 | Professional | 52 · Reduced service | $0.43 | $0.54 | $0.54 |
Where Montana sits
The same service costs 3.7 times more in North Carolina than in Virginia. 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· 3rd of 51
$1.10
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.