How much rates vary
Facilitymedian $6 · 10th to 90th $3 to $6Professionalmedian $2 · 10th to 90th $2 to $2
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 $2.00 Median $2.04 Typical High $2.04 | Professional | None | $2.00 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.00 Median $1.05 Typical High $1.05 | Professional | 52 · Reduced service | $1.00 | $1.05 | $1.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.40 Median $0.41 Typical High $0.41 | Professional | 53 · Discontinued | $0.40 | $0.41 | $0.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.31 Typical High $0.31 | Professional | 55 · Aftercare only | $0.30 | $0.31 | $0.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.21 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.20 | $0.21 | $0.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.14 | Professional | None | $2.00 | $2.00 | $2.14 |
Cigna Setting Facility Modifier None Typical Low $2.82 Median $2.82 Typical High $5.75 | Facility | None | $2.82 | $2.82 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | None | $2.00 | $2.00 | $2.00 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $1.78 Median $2.00 Typical High $2.57 | Professional | None | $1.78 | $2.00 | $2.57 |
Martin's Point Setting Professional Modifier None Typical Low $2.00 Median $2.04 Typical High $2.04 | Professional | None | $2.00 | $2.04 | $2.04 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $1.00 Median $1.05 Typical High $1.05 | Professional | 52 · Reduced service | $1.00 | $1.05 | $1.05 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.40 Median $0.41 Typical High $0.41 | Professional | 53 · Discontinued | $0.40 | $0.41 | $0.41 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.31 Typical High $0.31 | Professional | 55 · Aftercare only | $0.30 | $0.31 | $0.31 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.21 Typical High $0.21 | Professional | 56 · Pre-op care only | $0.20 | $0.21 | $0.21 |
United Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $2.63 | Professional | None | $1.78 | $1.78 | $2.63 |
Where Maine sits
Rates are fairly even across states for this service. 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· 14th of 51
$2.00
AK $2.51OK $1.78
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.