How much rates vary
Professionalmedian $49 · 10th to 90th $38 to $87
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 $39.81 Median $48.98 Typical High $67.61 | Professional | None | $39.81 | $48.98 | $67.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $24.55 Typical High $33.11 | Professional | 52 · Reduced service | $19.50 | $24.55 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.77 Typical High $13.49 | Professional | 53 · Discontinued | $7.94 | $9.77 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $7.24 Typical High $10.00 | Professional | 55 · Aftercare only | $5.89 | $7.24 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.98 Median $4.90 Typical High $6.76 | Professional | 56 · Pre-op care only | $3.98 | $4.90 | $6.76 |
BCBS Vermont Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
MVP Health Care Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $102.33 | Professional | None | $67.61 | $67.61 | $102.33 |
United Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $72.44 | Professional | None | $42.66 | $54.95 | $72.44 |
Where Vermont sits
The same service costs 2.6 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· 38th of 51
$48.98
MT $100OH $38.02
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.