How much rates vary
Facilitymedian $56 · 10th to 90th $56 to $56Professionalmedian $56 · 10th to 90th $26 to $166
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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $93.33 | Professional | None | $56.23 | $56.23 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $45.71 | Professional | 52 · Reduced service | $28.18 | $28.18 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $18.62 | Professional | 53 · Discontinued | $11.22 | $11.22 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $13.80 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $9.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $34.67 | Professional | None | $25.70 | $30.20 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Martin's Point Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $93.33 | Professional | None | $56.23 | $56.23 | $93.33 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.18 Typical High $45.71 | Professional | 52 · Reduced service | $28.18 | $28.18 | $45.71 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $18.62 | Professional | 53 · Discontinued | $11.22 | $11.22 | $18.62 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $8.51 Median $8.51 Typical High $13.80 | Professional | 55 · Aftercare only | $8.51 | $8.51 | $13.80 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $5.62 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.62 | $5.62 | $9.33 |
Where Maine sits
The same service costs 6.8 times more in North Carolina than in Kentucky. 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· 46th of 51
$56.23
NC $204KY $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.