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 $72.44 Median $72.44 Typical High $125.89 | Professional | None | $72.44 | $72.44 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $63.10 | Professional | 52 · Reduced service | $36.31 | $36.31 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $19.05 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $12.59 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $75.86 | Professional | None | $52.48 | $69.18 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | None | $194.98 | $194.98 | $204.17 |
Martin's Point Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $87.10 | Professional | None | $72.44 | $72.44 | $87.10 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | 52 · Reduced service | $36.31 | $36.31 | $43.65 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $10.72 Typical High $13.18 | Professional | 55 · Aftercare only | $10.72 | $10.72 | $13.18 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $7.24 Typical High $8.71 | Professional | 56 · Pre-op care only | $7.24 | $7.24 | $8.71 |
Where Maine sits
The same service costs 45.7 times more in Minnesota than in Utah. 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· 47th of 51
$69.18
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.