How much rates vary
Facilitymedian $71 · 10th to 90th $71 to $98Professionalmedian $115 · 10th to 90th $71 to $186
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 $70.79 Median $70.79 Typical High $97.72 | Facility | None | $70.79 | $70.79 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $169.82 | Professional | None | $70.79 | $97.72 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $46.77 Typical High $48.98 | Professional | 52 · Reduced service | $35.48 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.13 Typical High $14.79 | Professional | 55 · Aftercare only | $10.47 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.33 Typical High $9.77 | Professional | 56 · Pre-op care only | $7.08 | $9.33 | $9.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $190.55 | Professional | None | $81.28 | $123.03 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $177.83 | Professional | None | $83.18 | $120.23 | $177.83 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $87.10 Median $128.82 Typical High $199.53 | Professional | None | $87.10 | $128.82 | $199.53 |
Martin's Point Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $173.78 | Professional | None | $70.79 | $97.72 | $173.78 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $35.48 | $48.98 | $48.98 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $10.47 | $14.79 | $14.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $7.08 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $85.11 Median $123.03 Typical High $181.97 | Professional | None | $85.11 | $123.03 | $181.97 |
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· 24th of 51
$112
AK $229DC $81.28
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.