How much rates vary
Facilitymedian $525 · 10th to 90th $501 to $708Professionalmedian $126 · 10th to 90th $46 to $204
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 Professional Modifier None Typical Low $45.71 Median $125.89 Typical High $125.89 | Professional | None | $45.71 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $22.91 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $9.12 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $95.50 Typical High $95.50 | Professional | 54 · Surgery only | $34.67 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $6.92 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $12.59 Typical High $12.59 | Professional | 56 · Pre-op care only | $4.57 | $12.59 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $223.87 | Professional | None | $151.36 | $204.17 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $707.95 Typical High $2,290.87 | Facility | None | $691.83 | $707.95 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $707.95 | Facility | None | $338.84 | $524.81 | $707.95 |
Martin's Point Setting Professional Modifier None Typical Low $45.71 Median $125.89 Typical High $125.89 | Professional | None | $45.71 | $125.89 | $125.89 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $22.91 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $22.91 | $63.10 | $63.10 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $9.12 | $25.70 | $25.70 |
Martin's Point Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $95.50 Typical High $95.50 | Professional | 54 · Surgery only | $34.67 | $95.50 | $95.50 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $6.92 | $19.05 | $19.05 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $12.59 Typical High $12.59 | Professional | 56 · Pre-op care only | $4.57 | $12.59 | $12.59 |
United Setting Facility Modifier None Typical Low $338.84 Median $524.81 Typical High $707.95 | Facility | None | $338.84 | $524.81 | $707.95 |
Where Maine sits
The same service costs 16.6 times more in California than in Texas. 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· 31st of 51
$126
CA $832TX $50.12
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.