How much rates vary
Facilitymedian $269 · 10th to 90th $269 to $269Professionalmedian $229 · 10th to 90th $170 to $324
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $269.15 | Professional | None | $169.82 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $85.11 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $33.88 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $204.17 Typical High $204.17 | Professional | 54 · Surgery only | $125.89 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $25.70 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $16.98 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $281.84 | Professional | None | $169.82 | $229.09 | $281.84 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $398.11 | Professional | None | $257.04 | $316.23 | $398.11 |
Martin's Point Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $269.15 | Professional | None | $169.82 | $269.15 | $269.15 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $85.11 | $134.90 | $134.90 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $33.88 | $53.70 | $53.70 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $204.17 Typical High $204.17 | Professional | 54 · Surgery only | $125.89 | $204.17 | $204.17 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $40.74 Typical High $40.74 | Professional | 55 · Aftercare only | $25.70 | $40.74 | $40.74 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $26.92 Typical High $26.92 | Professional | 56 · Pre-op care only | $16.98 | $26.92 | $26.92 |
Where Maine sits
The same service costs 7.6 times more in Nebraska than in West Virginia. 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· 28th of 51
$229
NE $891WV $117
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.