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 $6.61 Median $13.80 Typical High $13.80 | Professional | None | $6.61 | $13.80 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $6.92 Typical High $6.92 | Professional | 52 · Reduced service | $3.98 | $6.92 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $2.75 Typical High $2.75 | Professional | 53 · Discontinued | $1.58 | $2.75 | $2.75 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $6.03 Median $10.47 Typical High $10.47 | Professional | 54 · Surgery only | $6.03 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.20 Median $2.09 Typical High $2.09 | Professional | 55 · Aftercare only | $1.20 | $2.09 | $2.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.79 Median $1.38 Typical High $1.38 | Professional | 56 · Pre-op care only | $0.79 | $1.38 | $1.38 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
MVP Health Care Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $8.13 | Professional | None | $6.61 | $6.61 | $8.13 |
United Setting Professional Modifier None Typical Low $3.31 Median $6.03 Typical High $7.08 | Professional | None | $3.31 | $6.03 | $7.08 |
Where Vermont sits
The same service costs 4.1 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· 31st of 51
$5.25
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.