How much rates vary
Professionalmedian $16 · 10th to 90th $11 to $37
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 $17.78 Median $37.15 Typical High $37.15 | Professional | None | $17.78 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $12.02 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $4.90 | $7.41 | $7.41 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $18.20 Median $27.54 Typical High $27.54 | Professional | 54 · Surgery only | $18.20 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.63 Median $5.62 Typical High $5.62 | Professional | 55 · Aftercare only | $3.63 | $5.62 | $5.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.45 Median $3.72 Typical High $3.72 | Professional | 56 · Pre-op care only | $2.45 | $3.72 | $3.72 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | None | $19.95 | $19.95 | $25.12 |
United Setting Professional Modifier None Typical Low $10.00 Median $18.62 Typical High $21.38 | Professional | None | $10.00 | $18.62 | $21.38 |
Where Vermont sits
The same service costs 3.5 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· 30th of 51
$15.85
RI $36.31NY $10.23
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.