How much rates vary
Facilitymedian $191 · 10th to 90th $145 to $363Professionalmedian $126 · 10th to 90th $2 to $158
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 $1.41 Median $1.58 Typical High $1.58 | Professional | None | $1.41 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.71 Median $0.79 Typical High $0.79 | Professional | 52 · Reduced service | $0.71 | $0.79 | $0.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.28 Median $0.32 Typical High $0.32 | Professional | 53 · Discontinued | $0.28 | $0.32 | $0.32 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.24 Typical High $0.24 | Professional | 55 · Aftercare only | $0.21 | $0.24 | $0.24 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.16 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.14 | $0.16 | $0.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $125.89 Typical High $173.78 | Professional | None | $95.50 | $125.89 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $190.55 Typical High $363.08 | Facility | None | $144.54 | $190.55 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $186.21 | Professional | None | $107.15 | $125.89 | $186.21 |
Martin's Point Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | 52 · Reduced service | $0.79 | $0.79 | $0.79 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $0.32 Median $0.32 Typical High $0.32 | Professional | 53 · Discontinued | $0.32 | $0.32 | $0.32 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | 55 · Aftercare only | $0.24 | $0.24 | $0.24 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | 56 · Pre-op care only | $0.16 | $0.16 | $0.16 |
United Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $186.21 | Professional | None | $114.82 | $125.89 | $186.21 |
Where Maine sits
The same service costs 14.8 times more in North Dakota than in New Jersey. 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· 15th of 51
$126
ND $224NJ $15.14
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.