How much rates vary
Professionalmedian $200 · 10th to 90th $10 to $479
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 $389.05 Median $478.63 Typical High $478.63 | Professional | None | $389.05 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $194.98 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $77.62 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $58.88 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $38.90 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $12.59 | Professional | None | $8.51 | $10.00 | $12.59 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $501.19 | Professional | None | $169.82 | $223.87 | $501.19 |
Martin's Point Setting Professional Modifier None Typical Low $398.11 Median $478.63 Typical High $478.63 | Professional | None | $398.11 | $478.63 | $478.63 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $199.53 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $199.53 | $239.88 | $239.88 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $81.28 | $95.50 | $95.50 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | 55 · Aftercare only | $60.26 | $72.44 | $72.44 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $39.81 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $39.81 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $169.82 Median $223.87 Typical High $501.19 | Professional | None | $169.82 | $223.87 | $501.19 |
Where Maine sits
The same service costs 38.0 times more in Minnesota than in Connecticut. 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· 45th of 51
$200
MN $479CT $12.59
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.