How much rates vary
Professionalmedian $83 · 10th to 90th $69 to $148
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 $95.50 | Professional | None | $83.18 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | 52 · Reduced service | $41.69 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | 53 · Discontinued | $16.60 | $16.60 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $14.45 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $9.55 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $9.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $117.49 | Professional | None | $60.26 | $70.79 | $117.49 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $190.55 | Professional | None | $95.50 | $123.03 | $190.55 |
Martin's Point Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $95.50 | Professional | None | $83.18 | $83.18 | $95.50 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $46.77 | Professional | 52 · Reduced service | $41.69 | $41.69 | $46.77 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $19.05 | Professional | 53 · Discontinued | $16.60 | $16.60 | $19.05 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $12.59 Typical High $14.13 | Professional | 55 · Aftercare only | $12.59 | $12.59 | $14.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $8.32 Typical High $9.33 | Professional | 56 · Pre-op care only | $8.32 | $8.32 | $9.33 |
United Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $190.55 | Professional | None | $81.28 | $117.49 | $190.55 |
Where Maine sits
The same service costs 5.0 times more in Alaska than in Pennsylvania. 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· 47th of 51
$83.18
AK $372PA $74.13
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.