How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2.34 Median $2.45 Typical High $3.89 | Professional | None | $2.34 | $2.45 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $13.18 Typical High $37.15 | Facility | None | $9.77 | $13.18 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $0.72 Median $2.75 Typical High $2.75 | Professional | None | $0.72 | $2.75 | $2.75 |
Providence Setting Facility Modifier None Typical Low $9.77 Median $13.18 Typical High $37.15 | Facility | None | $9.77 | $13.18 | $37.15 |
Providence Setting Professional Modifier None Typical Low $2.75 Median $79.43 Typical High $79.43 | Professional | None | $2.75 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
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 |
|---|---|---|---|---|---|
MountainHealth Co-op Setting Facility Modifier CSTM-00 Typical Low $15.49 Median $15.49 Typical High $25.12 | Facility | CSTM-00 | $15.49 | $15.49 | $25.12 |
Where Montana sits
The same service costs 50.1 times more in North Carolina than in Kentucky. 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· 28th of 51
$2.75
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.