How much rates vary
Professionalmedian $98 · 10th to 90th $78 to $158
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 (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $45.71 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $18.20 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $13.80 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.12 | $9.77 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $154.88 | Professional | None (both parts) | $70.79 | $91.20 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $147.91 | Professional | TC · Technical part | $97.72 | $123.03 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $100.00 | $102.33 | $186.21 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $87.10 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $87.10 | $125.89 | $162.18 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $46.77 | $48.98 | $48.98 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $18.62 | $19.50 | $19.50 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $14.13 | $14.79 | $14.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.33 | $9.77 | $9.77 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $95.50 | $138.04 | $165.96 |
Where Maine sits
The same service costs 2.9 times more in Alaska than in Florida. 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· 30th of 51
$97.72
AK $219FL $75.86
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.