How much rates vary
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 $19.05 Median $19.05 Typical High $67.61 | Facility | None | $19.05 | $19.05 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $48.98 Typical High $67.61 | Professional | None | $19.05 | $48.98 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $12.59 Typical High $33.88 | Professional | 52 · Reduced service | $9.55 | $12.59 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $10.00 Typical High $13.49 | Professional | 53 · Discontinued | $3.80 | $10.00 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $3.80 Typical High $10.00 | Professional | 55 · Aftercare only | $2.82 | $3.80 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $4.90 Typical High $6.76 | Professional | 56 · Pre-op care only | $1.91 | $4.90 | $6.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $57.54 Typical High $117.49 | Professional | None | $16.60 | $57.54 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $66.07 Typical High $104.71 | Professional | None | $24.55 | $66.07 | $104.71 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $19.05 Median $53.70 Typical High $125.89 | Professional | None | $19.05 | $53.70 | $125.89 |
Martin's Point Setting Professional Modifier None Typical Low $19.05 Median $33.88 Typical High $67.61 | Professional | None | $19.05 | $33.88 | $67.61 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $12.59 Typical High $33.88 | Professional | 52 · Reduced service | $9.55 | $12.59 | $33.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $5.13 Typical High $13.49 | Professional | 53 · Discontinued | $3.80 | $5.13 | $13.49 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $3.80 Typical High $10.00 | Professional | 55 · Aftercare only | $2.82 | $3.80 | $10.00 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $1.91 Median $2.51 Typical High $6.76 | Professional | 56 · Pre-op care only | $1.91 | $2.51 | $6.76 |
United Setting Professional Modifier None Typical Low $18.62 Median $53.70 Typical High $95.50 | Professional | None | $18.62 | $53.70 | $95.50 |
Where Maine sits
The same service costs 4.9 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· 36th of 51
$53.70
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.