How much rates vary
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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $295.12 | Professional | None | $208.93 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $104.71 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | 53 · Discontinued | $58.88 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $31.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $75.86 | Professional | None | $51.29 | $60.26 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Community Health Options Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Martin's Point Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $354.81 | Facility | None | $295.12 | $295.12 | $354.81 |
Martin's Point Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $302.00 | Professional | None | $213.80 | $295.12 | $302.00 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $147.91 | $147.91 | $151.36 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | 53 · Discontinued | $58.88 | $58.88 | $60.26 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | 55 · Aftercare only | $44.67 | $44.67 | $45.71 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $30.20 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $30.20 |
United Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
Where Maine sits
The same service costs 5.2 times more in Alaska than in Georgia. 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
$129
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.