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 Professional Modifier None Typical Low $0.12 Median $0.13 Typical High $0.13 | Professional | None | $0.12 | $0.13 | $0.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.06 Median $0.07 Typical High $0.07 | Professional | 52 · Reduced service | $0.06 | $0.07 | $0.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.03 Typical High $0.03 | Professional | 53 · Discontinued | $0.02 | $0.03 | $0.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.40 Median $0.40 Typical High $0.40 | Facility | None | $0.40 | $0.40 | $0.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.12 Median $0.12 Typical High $0.14 | Professional | None | $0.12 | $0.12 | $0.14 |
Cigna Setting Facility Modifier None Typical Low $0.15 Median $0.15 Typical High $0.37 | Facility | None | $0.15 | $0.15 | $0.37 |
Cigna Setting Professional Modifier None Typical Low $0.13 Median $0.13 Typical High $0.13 | Professional | None | $0.13 | $0.13 | $0.13 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $0.13 Median $0.13 Typical High $0.19 | Professional | None | $0.13 | $0.13 | $0.19 |
Martin's Point Setting Professional Modifier None Typical Low $0.12 Median $0.13 Typical High $0.13 | Professional | None | $0.12 | $0.13 | $0.13 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.06 Median $0.07 Typical High $0.07 | Professional | 52 · Reduced service | $0.06 | $0.07 | $0.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.03 Typical High $0.03 | Professional | 53 · Discontinued | $0.02 | $0.03 | $0.03 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 55 · Aftercare only | $0.02 | $0.02 | $0.02 |
United Setting Professional Modifier None Typical Low $0.13 Median $0.13 Typical High $0.23 | Professional | None | $0.13 | $0.13 | $0.23 |
Where Maine sits
The same service costs 32.4 times more in Montana than in Hawaii. 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· 11th of 51
$0.13
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.