How much rates vary
Facilitymedian $41 · 10th to 90th $41 to $52Professionalmedian $62 · 10th to 90th $41 to $100
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 $40.74 Median $40.74 Typical High $52.48 | Facility | None | $40.74 | $40.74 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $85.11 | Professional | None | $40.74 | $52.48 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $25.70 Typical High $26.30 | Professional | 52 · Reduced service | $20.42 | $25.70 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.76 Typical High $7.94 | Professional | 55 · Aftercare only | $6.17 | $7.76 | $7.94 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.13 Typical High $5.25 | Professional | 56 · Pre-op care only | $4.07 | $5.13 | $5.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $69.18 Typical High $104.71 | Professional | None | $46.77 | $69.18 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $100.00 | Professional | None | $48.98 | $67.61 | $100.00 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $104.71 | Professional | None | $50.12 | $69.18 | $104.71 |
Martin's Point Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $85.11 | Professional | None | $40.74 | $52.48 | $85.11 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $20.42 | $26.30 | $26.30 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.94 Typical High $7.94 | Professional | 55 · Aftercare only | $6.17 | $7.94 | $7.94 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $5.25 Typical High $5.25 | Professional | 56 · Pre-op care only | $4.07 | $5.25 | $5.25 |
United Setting Professional Modifier None Typical Low $50.12 Median $66.07 Typical High $100.00 | Professional | None | $50.12 | $66.07 | $100.00 |
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· 27th of 51
$61.66
AK $126DC $46.77
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.