How much rates vary
Facilitymedian $26 · 10th to 90th $26 to $28Professionalmedian $26 · 10th to 90th $15 to $28
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 Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $27.54 | Facility | None | $25.70 | $25.70 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | None | $25.70 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $12.88 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $5.13 | $5.50 | $5.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $4.17 Typical High $4.17 | Professional | 55 · Aftercare only | $3.89 | $4.17 | $4.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.75 Typical High $2.75 | Professional | 56 · Pre-op care only | $2.57 | $2.75 | $2.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $26.30 | Professional | None | $15.49 | $19.50 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $54.95 | Professional | None | $20.89 | $30.20 | $54.95 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $19.05 Median $23.99 Typical High $32.36 | Professional | None | $19.05 | $23.99 | $32.36 |
Martin's Point Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | None | $25.70 | $27.54 | $27.54 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $12.88 | $13.80 | $13.80 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.50 Typical High $5.50 | Professional | 53 · Discontinued | $5.13 | $5.50 | $5.50 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $4.17 Typical High $4.17 | Professional | 55 · Aftercare only | $3.89 | $4.17 | $4.17 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.75 Typical High $2.75 | Professional | 56 · Pre-op care only | $2.57 | $2.75 | $2.75 |
United Setting Professional Modifier None Typical Low $22.91 Median $37.15 Typical High $48.98 | Professional | None | $22.91 | $37.15 | $48.98 |
Where Maine sits
The same service costs 2.8 times more in New York than in Georgia. 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· 30th of 51
$25.70
NY $52.48GA $18.62
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.