How much rates vary
Professionalmedian $7 · 10th to 90th $5 to $13
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 $6.76 Median $13.49 Typical High $13.49 | Professional | None | $6.76 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.50 Median $6.76 Typical High $6.76 | Professional | 52 · Reduced service | $5.50 | $6.76 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.69 Typical High $2.69 | Professional | 53 · Discontinued | $2.19 | $2.69 | $2.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $8.32 Median $10.23 Typical High $10.23 | Professional | 54 · Surgery only | $8.32 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.66 Median $2.04 Typical High $2.04 | Professional | 55 · Aftercare only | $1.66 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.35 Typical High $1.35 | Professional | 56 · Pre-op care only | $1.10 | $1.35 | $1.35 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
MVP Health Care Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $11.48 | Professional | None | $9.12 | $9.12 | $11.48 |
United Setting Professional Modifier None Typical Low $4.57 Median $8.51 Typical High $9.77 | Professional | None | $4.57 | $8.51 | $9.77 |
Where Vermont sits
The same service costs 2.9 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· 33rd of 51
$6.76
RI $13.49NY $4.68
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.