How much rates vary
Facilitymedian $42 · 10th to 90th $0 to $87Professionalmedian $41 · 10th to 90th $30 to $47
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 $41.69 Median $43.65 Typical High $43.65 | Professional | None | $41.69 | $43.65 | $43.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $20.89 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.32 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.31 | $6.46 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.17 | $4.37 | $4.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.03 Median $41.69 Typical High $51.29 | Facility | None | $0.03 | $41.69 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $46.77 | Professional | None | $34.67 | $40.74 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $87.10 | Facility | None | $33.88 | $33.88 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $58.88 | Professional | None | $40.74 | $40.74 | $58.88 |
Martin's Point Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $43.65 | Professional | None | $42.66 | $43.65 | $43.65 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $21.38 | $21.88 | $21.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.51 | $8.71 | $8.71 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 55 · Aftercare only | $6.31 | $6.46 | $6.46 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $4.37 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.27 | $4.37 | $4.37 |
United Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $60.26 | Professional | None | $40.74 | $40.74 | $60.26 |
Where Maine sits
The same service costs 2.0 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· 42nd of 51
$40.74
AK $60.26NM $30.20
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.