How much rates vary
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 $741.31 Median $758.58 Typical High $776.25 | Professional | None | $741.31 | $758.58 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $371.54 Median $380.19 Typical High $389.05 | Professional | 52 · Reduced service | $371.54 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $151.36 Typical High $154.88 | Professional | 53 · Discontinued | $147.91 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $112.20 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $75.86 Typical High $77.62 | Professional | 56 · Pre-op care only | $74.13 | $75.86 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $1,122.02 | Professional | None | $707.95 | $831.76 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,819.70 | Professional | None | $831.76 | $1,023.29 | $1,819.70 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $478.63 Median $1,071.52 Typical High $1,659.59 | Professional | None | $478.63 | $1,071.52 | $1,659.59 |
Martin's Point Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $776.25 | Professional | None | $758.58 | $758.58 | $776.25 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $389.05 | Professional | 52 · Reduced service | $380.19 | $380.19 | $389.05 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | 53 · Discontinued | $151.36 | $151.36 | $154.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $75.86 Typical High $77.62 | Professional | 56 · Pre-op care only | $75.86 | $75.86 | $77.62 |
United Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $1,000.00 | Professional | None | $467.74 | $645.65 | $1,000.00 |
Where Maine sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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· 24th of 51
$832
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.