How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $165.96 Median $199.53 Typical High $199.53 | Professional | None | $165.96 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $83.18 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $33.11 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $25.12 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $19.95 Typical High $19.95 | Professional | 56 · Pre-op care only | $16.60 | $19.95 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $77.62 Typical High $93.33 | Professional | None | $64.57 | $77.62 | $93.33 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Martin's Point Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $199.53 | Professional | None | $165.96 | $199.53 | $199.53 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $83.18 | $97.72 | $97.72 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $33.11 | $39.81 | $39.81 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $25.12 | $29.51 | $29.51 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $19.95 Typical High $19.95 | Professional | 56 · Pre-op care only | $16.60 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Where Maine sits
The same service costs 53.7 times more in Oklahoma than in Missouri. 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· 39th of 51
$77.62
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.