How much rates vary
Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $575,440 · 10th to 90th $575,440 to $602,560
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 $575,439.94 Median $602,559.59 Typical High $602,559.59 | Professional | None | $575,439.94 | $602,559.59 | $602,559.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $301,995.17 Typical High $301,995.17 | Professional | 52 · Reduced service | $288,403.15 | $301,995.17 | $301,995.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $120,226.44 Typical High $120,226.44 | Professional | 53 · Discontinued | $114,815.36 | $120,226.44 | $120,226.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $91,201.08 Typical High $91,201.08 | Professional | 55 · Aftercare only | $87,096.36 | $91,201.08 | $91,201.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $60,255.96 Typical High $60,255.96 | Professional | 56 · Pre-op care only | $57,543.99 | $60,255.96 | $60,255.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Professional | None | $575,439.94 | $575,439.94 | $575,439.94 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $575,439.94 Median $575,439.94 Typical High $575,439.94 | Professional | None | $575,439.94 | $575,439.94 | $575,439.94 |
Martin's Point Setting Professional Modifier None Typical Low $575,439.94 Median $602,559.59 Typical High $602,559.59 | Professional | None | $575,439.94 | $602,559.59 | $602,559.59 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $288,403.15 Median $301,995.17 Typical High $301,995.17 | Professional | 52 · Reduced service | $288,403.15 | $301,995.17 | $301,995.17 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $114,815.36 Median $120,226.44 Typical High $120,226.44 | Professional | 53 · Discontinued | $114,815.36 | $120,226.44 | $120,226.44 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $87,096.36 Median $91,201.08 Typical High $91,201.08 | Professional | 55 · Aftercare only | $87,096.36 | $91,201.08 | $91,201.08 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $57,543.99 Median $60,255.96 Typical High $60,255.96 | Professional | 56 · Pre-op care only | $57,543.99 | $60,255.96 | $60,255.96 |
United Setting Professional Modifier None Typical Low $79,432.82 Median $562,341.33 Typical High $707,945.78 | Professional | None | $79,432.82 | $562,341.33 | $707,945.78 |
Where Maine sits
The same service costs 1.7 times more in Texas than in Minnesota. 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· 48th of 51
$575,440
TX $977,237MN $562,341
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.