How much rates vary
Facilitymedian $316 · 10th to 90th $316 to $316Professionalmedian $275 · 10th to 90th $209 to $380
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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $316.23 Typical High $316.23 | Professional | None | $194.98 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $91.20 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $36.31 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $138.04 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $27.54 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $18.20 | $31.62 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $275.42 Typical High $346.74 | Professional | None | $208.93 | $275.42 | $346.74 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $467.74 | Professional | None | $302.00 | $371.54 | $467.74 |
Martin's Point Setting Professional Modifier None Typical Low $181.97 Median $316.23 Typical High $316.23 | Professional | None | $181.97 | $316.23 | $316.23 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $91.20 | $158.49 | $158.49 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $36.31 | $63.10 | $63.10 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $239.88 Typical High $239.88 | Professional | 54 · Surgery only | $138.04 | $239.88 | $239.88 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $47.86 Typical High $47.86 | Professional | 55 · Aftercare only | $27.54 | $47.86 | $47.86 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $31.62 Typical High $31.62 | Professional | 56 · Pre-op care only | $18.20 | $31.62 | $31.62 |
Where Maine sits
The same service costs 25.7 times more in Oklahoma than in Vermont. 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· 27th of 51
$275
OK $3,631VT $141
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.