How much rates vary
Facilitymedian $166 · 10th to 90th $141 to $204Professionalmedian $166 · 10th to 90th $135 to $257
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 $141.25 Median $165.96 Typical High $204.17 | Facility | None | $141.25 | $165.96 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $223.87 | Professional | None | $141.25 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $74.13 Typical High $83.18 | Professional | 52 · Reduced service | $70.79 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $22.39 Typical High $25.12 | Professional | 55 · Aftercare only | $20.89 | $22.39 | $25.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $14.79 Typical High $16.60 | Professional | 56 · Pre-op care only | $14.13 | $14.79 | $16.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $251.19 | Professional | None | $100.00 | $134.90 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $186.21 Typical High $263.03 | Professional | None | $147.91 | $186.21 | $263.03 |
Community Health Options Setting Professional Modifier None Typical Low $194.98 Median $257.04 Typical High $323.59 | Professional | None | $194.98 | $257.04 | $323.59 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $154.88 Median $194.98 Typical High $302.00 | Professional | None | $154.88 | $194.98 | $302.00 |
Martin's Point Setting Facility Modifier None Typical Low $141.25 Median $165.96 Typical High $204.17 | Facility | None | $141.25 | $165.96 | $204.17 |
Martin's Point Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $223.87 | Professional | None | $141.25 | $162.18 | $223.87 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $77.62 Typical High $83.18 | Professional | 52 · Reduced service | $70.79 | $77.62 | $83.18 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $23.44 Typical High $25.12 | Professional | 55 · Aftercare only | $20.89 | $23.44 | $25.12 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $15.49 Typical High $16.60 | Professional | 56 · Pre-op care only | $14.13 | $15.49 | $16.60 |
United Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $288.40 | Professional | None | $151.36 | $194.98 | $288.40 |
Where Maine sits
The same service costs 2.3 times more in Alaska than in Alabama. 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· 24th of 51
$166
AK $288AL $123
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.