How much rates vary
Professionalmedian $24 · 10th to 90th $15 to $48
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 $34.67 Median $46.77 Typical High $89.13 | Professional | None | $34.67 | $46.77 | $89.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $17.38 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $6.92 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $25.70 Median $34.67 Typical High $34.67 | Professional | 54 · Surgery only | $25.70 | $34.67 | $34.67 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.13 Median $6.92 Typical High $6.92 | Professional | 55 · Aftercare only | $5.13 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.47 Median $4.68 Typical High $4.68 | Professional | 56 · Pre-op care only | $3.47 | $4.68 | $4.68 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
MVP Health Care Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $35.48 | Professional | None | $28.84 | $28.84 | $35.48 |
United Setting Professional Modifier None Typical Low $14.13 Median $26.30 Typical High $30.20 | Professional | None | $14.13 | $26.30 | $30.20 |
Where Vermont sits
The same service costs 3.1 times more in Rhode Island than in New York. 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· 29th of 51
$23.99
RI $45.71NY $14.79
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.