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 $21.88 Median $32.36 Typical High $44.67 | Professional | None | $21.88 | $32.36 | $44.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $16.22 Typical High $22.39 | Professional | 52 · Reduced service | $16.22 | $16.22 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $8.91 | Professional | 53 · Discontinued | $6.46 | $6.46 | $8.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.99 Median $23.99 Typical High $33.88 | Professional | 54 · Surgery only | $23.99 | $23.99 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $4.79 Typical High $6.76 | Professional | 55 · Aftercare only | $4.79 | $4.79 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.24 Median $3.24 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.24 | $3.24 | $4.47 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
MVP Health Care Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | None | $37.15 | $37.15 | $46.77 |
United Setting Professional Modifier None Typical Low $18.62 Median $34.67 Typical High $39.81 | Professional | None | $18.62 | $34.67 | $39.81 |
Where Vermont sits
The same service costs 2.8 times more in Hawaii 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· 27th of 51
$29.51
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.