How much rates vary
Professionalmedian $21 · 10th to 90th $17 to $191
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 $75.86 Median $190.55 Typical High $190.55 | Professional | None | $75.86 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $37.15 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $15.14 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $11.22 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $7.59 | $19.05 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $21.38 Typical High $26.92 | Professional | None | $16.22 | $21.38 | $26.92 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $30.20 | Professional | None | $18.62 | $21.88 | $30.20 |
Martin's Point Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $95.50 | $95.50 | $95.50 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $38.02 | $38.02 | $38.02 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $28.84 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 56 · Pre-op care only | $19.05 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $15.85 Median $22.39 Typical High $31.62 | Professional | None | $15.85 | $22.39 | $31.62 |
Where Maine sits
The same service costs 19.1 times more in Indiana than in Delaware. 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.
Maine· 35th of 51
$21.38
IN $257DE $13.49
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.