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 $12.88 Median $12.88 Typical High $15.85 | Professional | None | $12.88 | $12.88 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $6.46 Typical High $7.94 | Professional | 52 · Reduced service | $6.46 | $6.46 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $3.16 | Professional | 53 · Discontinued | $2.57 | $2.57 | $3.16 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $9.55 Median $9.55 Typical High $12.02 | Professional | 54 · Surgery only | $9.55 | $9.55 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.91 Median $1.91 Typical High $2.40 | Professional | 55 · Aftercare only | $1.91 | $1.91 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.29 Typical High $1.58 | Professional | 56 · Pre-op care only | $1.29 | $1.29 | $1.58 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
MVP Health Care Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | None | $13.18 | $13.18 | $16.60 |
United Setting Professional Modifier None Typical Low $6.61 Median $12.02 Typical High $14.13 | Professional | None | $6.61 | $12.02 | $14.13 |
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
$10.47
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.