How much rates vary
Facilitymedian $427 · 10th to 90th $95 to $1,479Professionalmedian $708 · 10th to 90th $174 to $1,778
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 Facility Modifier None Typical Low $177.83 Median $776.25 Typical High $1,819.70 | Facility | None | $177.83 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $812.83 Typical High $3,467.37 | Professional | None | $173.78 | $812.83 | $3,467.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $407.38 Typical High $1,737.80 | Professional | 52 · Reduced service | $87.10 | $407.38 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $162.18 Typical High $691.83 | Professional | 53 · Discontinued | $35.48 | $162.18 | $691.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $616.60 Typical High $2,630.27 | Professional | 54 · Surgery only | $131.83 | $616.60 | $2,630.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $123.03 Typical High $524.81 | Professional | 55 · Aftercare only | $26.30 | $123.03 | $524.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $81.28 Typical High $346.74 | Professional | 56 · Pre-op care only | $17.38 | $81.28 | $346.74 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $181.97 | Professional | None | $85.11 | $85.11 | $181.97 |
BCBS Mississippi Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $2,630.27 | Facility | None | $676.08 | $1,047.13 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $436.52 Typical High $1,288.25 | Professional | None | $229.09 | $436.52 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $89.13 Median $295.12 Typical High $1,096.48 | Facility | None | $89.13 | $295.12 | $1,096.48 |
United Setting Professional Modifier None Typical Low $173.78 Median $776.25 Typical High $1,778.28 | Professional | None | $173.78 | $776.25 | $1,778.28 |
Where Mississippi sits
The same service costs 11.7 times more in Vermont than in Maryland. 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.
Physician feeFacility fee
VT $7,161MD $610
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.