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 $66.07 Median $93.33 Typical High $165.96 | Professional | None | $66.07 | $93.33 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $45.71 Typical High $46.77 | Professional | 52 · Reduced service | $33.11 | $45.71 | $46.77 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $13.80 Typical High $14.13 | Professional | 55 · Aftercare only | $10.00 | $13.80 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $6.61 | $9.33 | $9.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $117.49 Typical High $186.21 | Professional | None | $75.86 | $117.49 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $169.82 | Professional | None | $77.62 | $117.49 | $169.82 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $186.21 | Professional | None | $81.28 | $117.49 | $186.21 |
Martin's Point Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $165.96 | Professional | None | $66.07 | $93.33 | $165.96 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $33.11 | $46.77 | $46.77 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $10.00 | $14.13 | $14.13 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.61 Median $9.33 Typical High $9.33 | Professional | 56 · Pre-op care only | $6.61 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $173.78 | Professional | None | $81.28 | $114.82 | $173.78 |
Where Maine sits
The same service costs 2.8 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· 28th of 51
$107
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.