How much rates vary
Facilitymedian $2 · 10th to 90th $2 to $2Professionalmedian $2 · 10th to 90th $2 to $4
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 $2.09 Median $2.09 Typical High $2.09 | Facility | None | $2.09 | $2.09 | $2.09 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.09 Typical High $4.27 | Professional | None | $2.04 | $2.09 | $4.27 |
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 $0.42 Typical High $0.42 | Professional | 53 · Discontinued | $0.40 | $0.42 | $0.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.32 Typical High $0.32 | Professional | 55 · Aftercare only | $0.30 | $0.32 | $0.32 |
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 $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.04 Median $4.07 Typical High $4.07 | Professional | None | $2.04 | $4.07 | $4.07 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $3.09 | Professional | None | $2.04 | $2.04 | $3.09 |
Martin's Point Setting Facility Modifier None Typical Low $2.09 Median $2.09 Typical High $2.09 | Facility | None | $2.09 | $2.09 | $2.09 |
Martin's Point Setting Professional Modifier None Typical Low $2.04 Median $2.09 Typical High $4.27 | Professional | None | $2.04 | $2.09 | $4.27 |
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 $0.42 Typical High $0.42 | Professional | 53 · Discontinued | $0.40 | $0.42 | $0.42 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.32 Typical High $0.32 | Professional | 55 · Aftercare only | $0.30 | $0.32 | $0.32 |
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 $2.04 Median $2.04 Typical High $3.09 | Professional | None | $2.04 | $2.04 | $3.09 |
Where Maine sits
The same service costs 2.1 times more in Wyoming than in Delaware. 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
$2.09
WY $4.37DE $2.04
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.