How much rates vary
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 $93.33 Median $117.49 Typical High $208.93 | Professional | None | $93.33 | $117.49 | $208.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $46.77 Median $58.88 Typical High $104.71 | Professional | 52 · Reduced service | $46.77 | $58.88 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.44 Typical High $42.66 | Professional | 53 · Discontinued | $18.62 | $23.44 | $42.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $89.13 Typical High $158.49 | Professional | 54 · Surgery only | $70.79 | $89.13 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $17.78 Typical High $31.62 | Professional | 55 · Aftercare only | $14.13 | $17.78 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $11.75 Typical High $20.89 | Professional | 56 · Pre-op care only | $9.33 | $11.75 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $165.96 Typical High $954.99 | Professional | None | $120.23 | $165.96 | $954.99 |
MVP Health Care Setting Professional Modifier None Typical Low $100.00 Median $354.81 Typical High $891.25 | Professional | None | $100.00 | $354.81 | $891.25 |
United Setting Professional Modifier None Typical Low $117.49 Median $251.19 Typical High $1,479.11 | Professional | None | $117.49 | $251.19 | $1,479.11 |
Where Vermont sits
The same service costs 9.5 times more in Washington than in Washington, DC. 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· 33rd of 51
$209
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.