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 $117.49 Median $144.54 Typical High $199.53 | Professional | None | $117.49 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $72.44 Typical High $100.00 | Professional | 52 · Reduced service | $58.88 | $72.44 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $28.84 Typical High $39.81 | Professional | 53 · Discontinued | $23.44 | $28.84 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $21.38 Typical High $29.51 | Professional | 55 · Aftercare only | $17.38 | $21.38 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $14.45 Typical High $19.95 | Professional | 56 · Pre-op care only | $11.75 | $14.45 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $630.96 | Professional | None | $426.58 | $501.19 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $125.89 Median $223.87 Typical High $363.08 | Professional | None | $125.89 | $223.87 | $363.08 |
Martin's Point Setting Professional Modifier None Typical Low $117.49 Median $199.53 Typical High $199.53 | Professional | None | $117.49 | $199.53 | $199.53 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $58.88 | $100.00 | $100.00 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $23.44 | $39.81 | $39.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $17.38 | $29.51 | $29.51 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $19.95 Typical High $19.95 | Professional | 56 · Pre-op care only | $11.75 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $125.89 Median $199.53 Typical High $371.54 | Professional | None | $125.89 | $199.53 | $371.54 |
Where Maine sits
The same service costs 7.6 times more in Colorado than in Rhode Island. 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· 29th of 51
$200
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.