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 $4.27 Median $8.51 Typical High $8.51 | Professional | None | $4.27 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.51 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $2.51 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.70 Typical High $1.70 | Professional | 53 · Discontinued | $1.02 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.80 Median $6.31 Typical High $6.31 | Professional | 54 · Surgery only | $3.80 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.78 Median $1.26 Typical High $1.26 | Professional | 55 · Aftercare only | $0.78 | $1.26 | $1.26 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.51 Median $0.83 Typical High $0.83 | Professional | 56 · Pre-op care only | $0.51 | $0.83 | $0.83 |
Cigna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
MVP Health Care Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.25 | Professional | None | $4.27 | $4.27 | $5.25 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.89 Typical High $4.47 | Professional | None | $2.09 | $3.89 | $4.47 |
Where Vermont sits
The same service costs 3.8 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· 32nd of 51
$3.31
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.