How much rates vary
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 $51.29 Median $67.61 Typical High $263.03 | Professional | None | $51.29 | $67.61 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $31.62 Typical High $131.83 | Professional | 52 · Reduced service | $26.92 | $31.62 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.59 Typical High $52.48 | Professional | 53 · Discontinued | $10.72 | $12.59 | $52.48 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $9.55 Typical High $38.90 | Professional | 55 · Aftercare only | $8.13 | $9.55 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $6.31 Typical High $26.30 | Professional | 56 · Pre-op care only | $5.37 | $6.31 | $26.30 |
BCBS Vermont Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $912.01 | Facility | None | $776.25 | $776.25 | $912.01 |
BCBS Vermont Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $794.33 | Professional | None | $416.87 | $416.87 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $128.82 Typical High $346.74 | Professional | None | $61.66 | $128.82 | $346.74 |
MVP Health Care Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $512.86 | Professional | None | $50.12 | $50.12 | $512.86 |
United Setting Professional Modifier None Typical Low $58.88 Median $213.80 Typical High $537.03 | Professional | None | $58.88 | $213.80 | $537.03 |
Where Vermont sits
The same service costs 5.2 times more in North Carolina than in Hawaii. 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.
Vermont· 11th of 51
$224
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.