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 $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | 55 · Aftercare only | $0.98 | $0.98 | $0.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | 56 · Pre-op care only | $0.65 | $0.65 | $0.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $7.08 Typical High $7.24 | Professional | None | $5.25 | $7.08 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $3.80 Median $5.62 Typical High $12.30 | Professional | None | $3.80 | $5.62 | $12.30 |
Martin's Point Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | 55 · Aftercare only | $0.98 | $0.98 | $0.98 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | 56 · Pre-op care only | $0.65 | $0.65 | $0.65 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.62 Typical High $12.30 | Professional | None | $3.80 | $5.62 | $12.30 |
Where Maine sits
The same service costs 3.2 times more in Minnesota than in Rhode Island. 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· 41st of 51
$6.46
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.