How much rates vary
Professionalmedian $10 · 10th to 90th $8 to $15
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 $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $1.70 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 54 · Surgery only | $6.31 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 55 · Aftercare only | $1.26 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.83 | $0.83 | $0.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $10.00 Typical High $14.79 | Professional | None | $6.03 | $10.00 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $11.22 Typical High $16.60 | Professional | None | $10.72 | $11.22 | $16.60 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $15.49 | Professional | None | $8.13 | $12.30 | $15.49 |
Martin's Point Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.27 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $1.70 | $1.70 | $1.70 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 54 · Surgery only | $6.31 | $6.31 | $6.31 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | 55 · Aftercare only | $1.26 | $1.26 | $1.26 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.83 Median $0.83 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.83 | $0.83 | $0.83 |
United Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $13.80 | Professional | None | $8.13 | $12.30 | $13.80 |
Where Maine sits
The same service costs 2.3 times more in Hawaii than in North Carolina. 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· 34th of 51
$10.23
HI $18.20NC $7.76
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.