How much rates vary
Professionalmedian $63 · 10th to 90th $52 to $89
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 $53.70 Median $63.10 Typical High $63.10 | Professional | None | $53.70 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $26.92 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $10.72 | $12.59 | $12.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $8.13 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $5.37 | $6.31 | $6.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $104.71 | Professional | None | $64.57 | $83.18 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $89.13 | Professional | None | $61.66 | $75.86 | $89.13 |
Martin's Point Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $63.10 | Professional | None | $60.26 | $63.10 | $63.10 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $30.20 | $31.62 | $31.62 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $12.02 | $12.59 | $12.59 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $9.55 Typical High $9.55 | Professional | 55 · Aftercare only | $9.12 | $9.55 | $9.55 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.31 Typical High $6.31 | Professional | 56 · Pre-op care only | $6.03 | $6.31 | $6.31 |
United Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $93.33 | Professional | None | $61.66 | $61.66 | $93.33 |
Where Maine sits
The same service costs 4.6 times more in New York than in North Carolina. 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· 14th of 51
$63.10
NY $200NC $43.65
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.