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 $1.10 Median $1.35 Typical High $1.35 | Professional | None | $1.10 | $1.35 | $1.35 |
BCBS Montana Setting Facility Modifier None Typical Low $5.62 Median $6.61 Typical High $7.24 | Facility | None | $5.62 | $6.61 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $1.45 Median $1.45 Typical High $4.37 | Facility | None | $1.45 | $1.45 | $4.37 |
Cigna Setting Professional Modifier None Typical Low $1.10 Median $1.45 Typical High $1.45 | Professional | None | $1.10 | $1.45 | $1.45 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1.00 Median $1.26 Typical High $1.48 | Facility | None | $1.00 | $1.26 | $1.48 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1.00 Median $1.26 Typical High $1.48 | Professional | None | $1.00 | $1.26 | $1.48 |
Providence Setting Facility Modifier None Typical Low $1.45 Median $1.45 Typical High $4.37 | Facility | None | $1.45 | $1.45 | $4.37 |
Providence Setting Professional Modifier None Typical Low $1.17 Median $1.45 Typical High $1.51 | Professional | None | $1.17 | $1.45 | $1.51 |
United Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | None | $1.02 | $1.02 | $1.02 |
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 55 · Aftercare only Typical Low $0.16 Median $0.20 Typical High $0.20 | Professional | 55 · Aftercare only | $0.16 | $0.20 | $0.20 |
Where Montana sits
The same service costs 2.7 times more in Wyoming 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· 4th of 51
$1.35
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.