How much rates vary
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 $112.20 Median $117.49 Typical High $117.49 | Professional | None | $112.20 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $56.23 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $22.39 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $16.98 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.22 | $11.75 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $204.17 | Professional | None | $97.72 | $117.49 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $131.83 Typical High $234.42 | Professional | None | $128.82 | $131.83 | $234.42 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $208.93 | Professional | None | $131.83 | $158.49 | $208.93 |
Martin's Point Setting Professional Modifier None Typical Low $114.82 Median $117.49 Typical High $117.49 | Professional | None | $114.82 | $117.49 | $117.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $57.54 | $58.88 | $58.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $22.91 | $23.44 | $23.44 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | 55 · Aftercare only | $17.38 | $17.78 | $17.78 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $11.75 Typical High $11.75 | Professional | 56 · Pre-op care only | $11.48 | $11.75 | $11.75 |
United Setting Professional Modifier None Typical Low $117.49 Median $169.82 Typical High $213.80 | Professional | None | $117.49 | $169.82 | $213.80 |
Where Maine sits
The same service costs 2.8 times more in Alaska than in Texas. 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· 22nd of 51
$132
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.