How much rates vary
Professionalmedian $219 · 10th to 90th $95 to $1,000
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 $97.72 Median $107.15 Typical High $524.81 | Professional | None | $97.72 | $107.15 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $53.70 Typical High $263.03 | Professional | 52 · Reduced service | $48.98 | $53.70 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.38 Typical High $104.71 | Professional | 53 · Discontinued | $19.50 | $21.38 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $81.28 Typical High $398.11 | Professional | 54 · Surgery only | $72.44 | $81.28 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $16.22 Typical High $79.43 | Professional | 55 · Aftercare only | $14.45 | $16.22 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.72 Typical High $52.48 | Professional | 56 · Pre-op care only | $9.77 | $10.72 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $85.11 Median $269.15 Typical High $1,047.13 | Professional | None | $85.11 | $269.15 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $213.80 Typical High $1,318.26 | Professional | None | $120.23 | $213.80 | $1,318.26 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $93.33 Median $269.15 Typical High $1,258.93 | Professional | None | $93.33 | $269.15 | $1,258.93 |
Martin's Point Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $524.81 | Professional | None | $97.72 | $107.15 | $524.81 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $53.70 Typical High $263.03 | Professional | 52 · Reduced service | $48.98 | $53.70 | $263.03 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.38 Typical High $104.71 | Professional | 53 · Discontinued | $19.50 | $21.38 | $104.71 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $81.28 Typical High $398.11 | Professional | 54 · Surgery only | $72.44 | $81.28 | $398.11 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $16.22 Typical High $79.43 | Professional | 55 · Aftercare only | $14.45 | $16.22 | $79.43 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $10.72 Typical High $52.48 | Professional | 56 · Pre-op care only | $9.77 | $10.72 | $52.48 |
United Setting Professional Modifier None Typical Low $120.23 Median $208.93 Typical High $758.58 | Professional | None | $120.23 | $208.93 | $758.58 |
Where Maine sits
The same service costs 9.5 times more in Washington 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· 28th of 51
$219
WA $933DC $97.72
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.