How much rates vary
Professionalmedian $43 · 10th to 90th $18 to $115
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 $24.55 Median $24.55 Typical High $89.13 | Professional | None | $24.55 | $24.55 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $12.02 Typical High $44.67 | Professional | 52 · Reduced service | $12.02 | $12.02 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $17.78 | Professional | 53 · Discontinued | $4.90 | $4.90 | $17.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $3.63 Typical High $13.49 | Professional | 55 · Aftercare only | $3.63 | $3.63 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.45 Typical High $8.91 | Professional | 56 · Pre-op care only | $2.45 | $2.45 | $8.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $38.90 Typical High $91.20 | Professional | None | $22.91 | $38.90 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $46.77 Typical High $141.25 | Professional | None | $28.84 | $46.77 | $141.25 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $16.60 Median $41.69 Typical High $89.13 | Professional | None | $16.60 | $41.69 | $89.13 |
Martin's Point Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $89.13 | Professional | None | $24.55 | $24.55 | $89.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $12.02 Typical High $44.67 | Professional | 52 · Reduced service | $12.02 | $12.02 | $44.67 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $17.78 | Professional | 53 · Discontinued | $4.90 | $4.90 | $17.78 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $3.63 Typical High $13.49 | Professional | 55 · Aftercare only | $3.63 | $3.63 | $13.49 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.45 Typical High $8.91 | Professional | 56 · Pre-op care only | $2.45 | $2.45 | $8.91 |
United Setting Professional Modifier None Typical Low $18.20 Median $46.77 Typical High $89.13 | Professional | None | $18.20 | $46.77 | $89.13 |
Where Maine sits
The same service costs 4.4 times more in Hawaii than in Washington, DC. 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· 40th of 51
$42.66
HI $110DC $25.12
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.