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 $10.23 Median $15.14 Typical High $17.78 | Professional | None | $10.23 | $15.14 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $7.41 Typical High $8.91 | Professional | 52 · Reduced service | $5.13 | $7.41 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $3.02 Typical High $3.55 | Professional | 53 · Discontinued | $2.04 | $3.02 | $3.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.55 Median $2.24 Typical High $2.63 | Professional | 55 · Aftercare only | $1.55 | $2.24 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.02 Median $1.51 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.02 | $1.51 | $1.78 |
BCBS Vermont Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $26.30 | Professional | None | $23.44 | $26.30 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $18.62 | Professional | None | $9.77 | $9.77 | $18.62 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $20.89 Typical High $26.30 | Professional | None | $19.95 | $20.89 | $26.30 |
United Setting Professional Modifier None Typical Low $10.00 Median $15.85 Typical High $21.88 | Professional | None | $10.00 | $15.85 | $21.88 |
Where Vermont sits
The same service costs 3.2 times more in Montana 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· 4th of 51
$20.42
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.