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 $0.46 Median $0.50 Typical High $0.50 | Professional | None | $0.46 | $0.50 | $0.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.07 Median $0.08 Typical High $0.08 | Professional | 55 · Aftercare only | $0.07 | $0.08 | $0.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.28 Median $0.30 Typical High $0.31 | Professional | None | $0.28 | $0.30 | $0.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.22 Median $0.22 Typical High $0.28 | Professional | UE · Used equipment | $0.22 | $0.22 | $0.28 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | None | $1.12 | $1.12 | $1.12 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $0.28 Median $0.43 Typical High $1.00 | Professional | None | $0.28 | $0.43 | $1.00 |
Martin's Point Setting Professional Modifier None Typical Low $0.50 Median $0.50 Typical High $0.50 | Professional | None | $0.50 | $0.50 | $0.50 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | 55 · Aftercare only | $0.08 | $0.08 | $0.08 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.05 Median $0.05 Typical High $0.05 | Professional | 56 · Pre-op care only | $0.05 | $0.05 | $0.05 |
United Setting Professional Modifier None Typical Low $0.28 Median $0.43 Typical High $1.00 | Professional | None | $0.28 | $0.43 | $1.00 |
Where Maine sits
The same service costs 2.9 times more in Minnesota than in Ohio. 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· 37th of 51
$0.50
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.