How much rates vary
Professionalmedian $4 · 10th to 90th $2 to $29
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 $11.75 Median $28.84 Typical High $28.84 | Professional | None | $11.75 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.89 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $5.89 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $2.34 | $5.75 | $5.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.74 Median $4.27 Typical High $4.27 | Professional | 55 · Aftercare only | $1.74 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.17 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $1.17 | $2.82 | $2.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.00 Median $3.55 Typical High $4.07 | Professional | None | $2.00 | $3.55 | $4.07 |
Martin's Point Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $14.13 | $14.13 | $14.13 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.75 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 55 · Aftercare only | $4.27 | $4.27 | $4.27 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | 56 · Pre-op care only | $2.82 | $2.82 | $2.82 |
Where Maine sits
The same service costs 91.2 times more in Montana than in Arkansas. 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· 48th of 51
$3.55
MT $79.43AR $0.87
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.