How much rates vary
Professionalmedian $83 · 10th to 90th $62 to $158
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 $83.18 Median $83.18 Typical High $91.20 | Professional | None | $83.18 | $83.18 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | 52 · Reduced service | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | 53 · Discontinued | $16.60 | $16.60 | $18.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $13.49 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $8.71 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $8.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $77.62 | Professional | None | $52.48 | $61.66 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $93.33 Median $125.89 Typical High $169.82 | Professional | None | $93.33 | $125.89 | $169.82 |
Martin's Point Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | None | $83.18 | $83.18 | $85.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $42.66 | Professional | 52 · Reduced service | $41.69 | $41.69 | $42.66 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.98 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.98 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $12.88 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $12.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $8.51 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $8.51 |
United Setting Professional Modifier None Typical Low $87.10 Median $120.23 Typical High $177.83 | Professional | None | $87.10 | $120.23 | $177.83 |
Where Maine sits
The same service costs 3.2 times more in Alaska than in New York. 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· 34th of 51
$83.18
AK $219NY $67.61
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.