How much rates vary
Professionalmedian $60 · 10th to 90th $40 to $95
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 $39.81 Median $48.98 Typical High $61.66 | Professional | None | $39.81 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $22.39 Typical High $30.90 | Professional | 52 · Reduced service | $19.95 | $22.39 | $30.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.61 Typical High $9.33 | Professional | 55 · Aftercare only | $6.03 | $6.61 | $9.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.47 Typical High $6.17 | Professional | 56 · Pre-op care only | $3.98 | $4.47 | $6.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $58.88 Typical High $100.00 | Professional | None | $37.15 | $58.88 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $42.66 Median $67.61 Typical High $107.15 | Professional | None | $42.66 | $67.61 | $107.15 |
Martin's Point Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $61.66 | Professional | None | $39.81 | $50.12 | $61.66 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $22.39 Typical High $30.90 | Professional | 52 · Reduced service | $19.95 | $22.39 | $30.90 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $6.61 Typical High $9.33 | Professional | 55 · Aftercare only | $6.03 | $6.61 | $9.33 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.47 Typical High $6.17 | Professional | 56 · Pre-op care only | $3.98 | $4.47 | $6.17 |
United Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $100.00 | Professional | None | $41.69 | $63.10 | $100.00 |
Where Maine sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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
$60.26
AK $112KY $47.86
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.