How much rates vary
Professionalmedian $85 · 10th to 90th $78 to $166
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 $81.28 Median $81.28 Typical High $87.10 | Professional | None | $81.28 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $43.65 | Professional | 52 · Reduced service | $40.74 | $40.74 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $17.38 | Professional | 53 · Discontinued | $16.60 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $12.30 Typical High $12.88 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $12.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.13 Typical High $8.71 | Professional | 56 · Pre-op care only | $8.13 | $8.13 | $8.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $165.96 | Professional | None | $67.61 | $85.11 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $165.96 | Professional | None | $85.11 | $112.20 | $165.96 |
Martin's Point Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $85.11 | Professional | None | $81.28 | $81.28 | $85.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $40.74 Median $40.74 Typical High $42.66 | Professional | 52 · Reduced service | $40.74 | $40.74 | $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 $12.30 Median $12.30 Typical High $12.88 | Professional | 55 · Aftercare only | $12.30 | $12.30 | $12.88 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $8.13 Typical High $8.51 | Professional | 56 · Pre-op care only | $8.13 | $8.13 | $8.51 |
United Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $169.82 | Professional | None | $81.28 | $112.20 | $169.82 |
Where Maine sits
The same service costs 12.6 times more in California 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.
Maine· 35th of 51
$85.11
CA $245KY $19.50
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.