How much rates vary
Facilitymedian $62 · 10th to 90th $62 to $89Professionalmedian $98 · 10th to 90th $62 to $170
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 $61.66 Median $61.66 Typical High $89.13 | Facility | None | $61.66 | $61.66 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $158.49 | Professional | None | $61.66 | $89.13 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $43.65 Typical High $44.67 | Professional | 52 · Reduced service | $30.90 | $43.65 | $44.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.88 Typical High $13.49 | Professional | 55 · Aftercare only | $9.33 | $12.88 | $13.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.71 Typical High $8.91 | Professional | 56 · Pre-op care only | $6.17 | $8.71 | $8.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $112.20 Typical High $177.83 | Professional | None | $70.79 | $112.20 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $158.49 | Professional | None | $72.44 | $109.65 | $158.49 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $75.86 Median $112.20 Typical High $181.97 | Professional | None | $75.86 | $112.20 | $181.97 |
Martin's Point Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $158.49 | Professional | None | $61.66 | $89.13 | $158.49 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $30.90 | $44.67 | $44.67 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $13.18 Typical High $13.49 | Professional | 55 · Aftercare only | $9.33 | $13.18 | $13.49 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.91 Typical High $8.91 | Professional | 56 · Pre-op care only | $6.17 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $165.96 | Professional | None | $75.86 | $107.15 | $165.96 |
Where Maine sits
The same service costs 2.9 times more in Alaska than in Washington, DC. 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· 33rd of 51
$97.72
AK $204DC $70.79
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.