How much rates vary
Facilitymedian $25 · 10th to 90th $25 to $78Professionalmedian $42 · 10th to 90th $23 to $112
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 $24.55 Median $24.55 Typical High $77.62 | Facility | None | $24.55 | $24.55 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $56.23 Typical High $79.43 | Professional | None | $24.55 | $56.23 | $79.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $15.49 Typical High $38.90 | Professional | 52 · Reduced service | $12.02 | $15.49 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.31 Typical High $15.49 | Professional | 53 · Discontinued | $4.90 | $6.31 | $15.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $4.68 Typical High $11.75 | Professional | 55 · Aftercare only | $3.63 | $4.68 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $3.16 Typical High $7.76 | Professional | 56 · Pre-op care only | $2.45 | $3.16 | $7.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $63.10 | Professional | None | $21.38 | $26.30 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $81.28 Typical High $117.49 | Professional | None | $28.18 | $81.28 | $117.49 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $23.44 Median $63.10 Typical High $123.03 | Professional | None | $23.44 | $63.10 | $123.03 |
Martin's Point Setting Professional Modifier None Typical Low $24.55 Median $53.70 Typical High $77.62 | Professional | None | $24.55 | $53.70 | $77.62 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $12.88 Typical High $38.90 | Professional | 52 · Reduced service | $12.02 | $12.88 | $38.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.13 Typical High $15.49 | Professional | 53 · Discontinued | $4.90 | $5.13 | $15.49 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $3.89 Typical High $11.75 | Professional | 55 · Aftercare only | $3.63 | $3.89 | $11.75 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $2.57 Typical High $7.76 | Professional | 56 · Pre-op care only | $2.45 | $2.57 | $7.76 |
United Setting Professional Modifier None Typical Low $23.44 Median $61.66 Typical High $125.89 | Professional | None | $23.44 | $61.66 | $125.89 |
Where Maine sits
The same service costs 4.4 times more in North Dakota than in Kentucky. 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· 44th of 51
$41.69
ND $112KY $25.70
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.