How much rates vary
Professionalmedian $0 · 10th to 90th $0 to $1
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 $0.33 Median $0.37 Typical High $0.37 | Professional | None | $0.33 | $0.37 | $0.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.16 Median $0.19 Typical High $0.19 | Professional | 52 · Reduced service | $0.16 | $0.19 | $0.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.06 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.06 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.06 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.04 | $0.04 |
Cigna Setting Professional Modifier None Typical Low $0.40 Median $0.43 Typical High $0.74 | Professional | None | $0.40 | $0.43 | $0.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Martin's Point Setting Professional Modifier None Typical Low $0.35 Median $0.37 Typical High $0.38 | Professional | None | $0.35 | $0.37 | $0.38 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.17 Median $0.19 Typical High $0.19 | Professional | 52 · Reduced service | $0.17 | $0.19 | $0.19 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.07 Median $0.07 Typical High $0.07 | Professional | 53 · Discontinued | $0.07 | $0.07 | $0.07 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.05 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.05 | $0.06 | $0.06 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.03 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.03 | $0.04 | $0.04 |
Where Maine sits
The same service costs 645.7 times more in Oklahoma 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· 36th of 51
$0.38
OK $166FL $0.26
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.