How much rates vary
Facilitymedian $1 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $1
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 $1.07 Median $1.07 Typical High $1.07 | Facility | None | $1.07 | $1.07 | $1.07 |
Aetna Setting Professional Modifier None Typical Low $1.02 Median $1.07 Typical High $2.14 | Professional | None | $1.02 | $1.07 | $2.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.51 Median $0.52 Typical High $0.52 | Professional | 52 · Reduced service | $0.51 | $0.52 | $0.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.20 Median $0.21 Typical High $0.21 | Professional | 53 · Discontinued | $0.20 | $0.21 | $0.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.16 Typical High $0.16 | Professional | 55 · Aftercare only | $0.15 | $0.16 | $0.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.11 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.10 | $0.11 | $0.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Facility | None | $3.16 | $3.16 | $3.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.02 Median $1.02 Typical High $1.05 | Professional | None | $1.02 | $1.02 | $1.05 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $1.45 | Professional | None | $0.89 | $0.89 | $1.45 |
Martin's Point Setting Professional Modifier None Typical Low $1.02 Median $1.07 Typical High $2.14 | Professional | None | $1.02 | $1.07 | $2.14 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.51 Median $0.52 Typical High $0.52 | Professional | 52 · Reduced service | $0.51 | $0.52 | $0.52 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.20 Median $0.21 Typical High $0.21 | Professional | 53 · Discontinued | $0.20 | $0.21 | $0.21 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.15 Median $0.16 Typical High $0.16 | Professional | 55 · Aftercare only | $0.15 | $0.16 | $0.16 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.10 Median $0.11 Typical High $0.11 | Professional | 56 · Pre-op care only | $0.10 | $0.11 | $0.11 |
United Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $1.45 | Professional | None | $0.89 | $0.89 | $1.45 |
Where Maine sits
The same service costs 1.5 times more in Alaska than in New Mexico. 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· 41st of 51
$1.02
AK $1.35NM $0.89
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.