How much rates vary
Professionalmedian $3 · 10th to 90th $2 to $7
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 $3.98 Median $6.76 Typical High $6.76 | Professional | None | $3.98 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.00 Median $3.39 Typical High $3.39 | Professional | 52 · Reduced service | $2.00 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $1.35 Typical High $1.35 | Professional | 53 · Discontinued | $0.79 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3.02 Median $5.13 Typical High $5.13 | Professional | 54 · Surgery only | $3.02 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.60 Median $1.02 Typical High $1.02 | Professional | 55 · Aftercare only | $0.60 | $1.02 | $1.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.40 Median $0.68 Typical High $0.68 | Professional | 56 · Pre-op care only | $0.40 | $0.68 | $0.68 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
MVP Health Care Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $4.17 | Professional | None | $3.31 | $3.31 | $4.17 |
United Setting Professional Modifier None Typical Low $1.66 Median $3.09 Typical High $3.55 | Professional | None | $1.66 | $3.09 | $3.55 |
Where Vermont sits
The same service costs 4.0 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
$2.63
RI $6.76NY $1.70
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.