How much rates vary
Facilitymedian $79 · 10th to 90th $79 to $107Professionalmedian $126 · 10th to 90th $79 to $209
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 $79.43 Median $79.43 Typical High $107.15 | Facility | None | $79.43 | $79.43 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $186.21 | Professional | None | $79.43 | $107.15 | $186.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $50.12 Typical High $53.70 | Professional | 52 · Reduced service | $39.81 | $50.12 | $53.70 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $15.14 Typical High $16.22 | Professional | 55 · Aftercare only | $12.02 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.23 Typical High $10.72 | Professional | 56 · Pre-op care only | $7.94 | $10.23 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $138.04 Typical High $208.93 | Professional | None | $91.20 | $138.04 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $199.53 | Professional | None | $93.33 | $131.83 | $199.53 |
Community Health Options Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $263.03 | Professional | None | $134.90 | $194.98 | $263.03 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $218.78 | Professional | None | $100.00 | $141.25 | $218.78 |
Martin's Point Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $186.21 | Professional | None | $79.43 | $107.15 | $186.21 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $52.48 Typical High $53.70 | Professional | 52 · Reduced service | $39.81 | $52.48 | $53.70 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $15.49 Typical High $16.22 | Professional | 55 · Aftercare only | $12.02 | $15.49 | $16.22 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $10.47 Typical High $10.72 | Professional | 56 · Pre-op care only | $7.94 | $10.47 | $10.72 |
United Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $199.53 | Professional | None | $97.72 | $134.90 | $199.53 |
Where Maine sits
The same service costs 2.7 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· 23rd of 51
$126
AK $251DC $93.33
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.