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 $30.20 Median $37.15 Typical High $52.48 | Professional | None | $30.20 | $37.15 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $18.62 Typical High $26.30 | Professional | 52 · Reduced service | $15.14 | $18.62 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.41 Typical High $10.47 | Professional | 53 · Discontinued | $6.03 | $7.41 | $10.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.57 Median $5.62 Typical High $7.76 | Professional | 55 · Aftercare only | $4.57 | $5.62 | $7.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.02 Median $3.72 Typical High $5.25 | Professional | 56 · Pre-op care only | $3.02 | $3.72 | $5.25 |
BCBS Vermont Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
MVP Health Care Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $81.28 | Professional | None | $52.48 | $52.48 | $81.28 |
United Setting Professional Modifier None Typical Low $33.11 Median $50.12 Typical High $54.95 | Professional | None | $33.11 | $50.12 | $54.95 |
Where Vermont sits
The same service costs 2.8 times more in Montana than in Ohio. 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· 40th of 51
$38.90
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.