How much rates vary
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 $19.95 Median $19.95 Typical High $31.62 | Facility | None | $19.95 | $19.95 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $31.62 Typical High $44.67 | Professional | None | $19.95 | $31.62 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $14.13 Typical High $15.85 | Professional | 52 · Reduced service | $10.00 | $14.13 | $15.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $4.27 Typical High $4.79 | Professional | 55 · Aftercare only | $3.02 | $4.27 | $4.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $2.82 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.00 | $2.82 | $3.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $36.31 Typical High $61.66 | Professional | None | $22.91 | $36.31 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $38.90 Typical High $54.95 | Professional | None | $25.70 | $38.90 | $54.95 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $24.55 Median $38.90 Typical High $60.26 | Professional | None | $24.55 | $38.90 | $60.26 |
Martin's Point Setting Professional Modifier None Typical Low $19.95 Median $31.62 Typical High $45.71 | Professional | None | $19.95 | $31.62 | $45.71 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $15.14 Typical High $15.85 | Professional | 52 · Reduced service | $10.00 | $15.14 | $15.85 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $3.02 Median $4.57 Typical High $4.79 | Professional | 55 · Aftercare only | $3.02 | $4.57 | $4.79 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.00 Median $3.02 Typical High $3.16 | Professional | 56 · Pre-op care only | $2.00 | $3.02 | $3.16 |
United Setting Professional Modifier None Typical Low $24.55 Median $38.02 Typical High $56.23 | Professional | None | $24.55 | $38.02 | $56.23 |
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· 32nd of 51
$33.11
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.