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 $38.90 Median $47.86 Typical High $69.18 | Professional | None | $38.90 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.50 Median $23.99 Typical High $34.67 | Professional | 52 · Reduced service | $19.50 | $23.99 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $9.55 Typical High $13.80 | Professional | 53 · Discontinued | $7.76 | $9.55 | $13.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $7.24 Typical High $10.47 | Professional | 55 · Aftercare only | $5.89 | $7.24 | $10.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $4.79 Typical High $6.92 | Professional | 56 · Pre-op care only | $3.89 | $4.79 | $6.92 |
BCBS Vermont Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
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 $104.71 | Professional | None | $67.61 | $67.61 | $104.71 |
United Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $70.79 | Professional | None | $42.66 | $52.48 | $70.79 |
Where Vermont sits
The same service costs 2.8 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· 36th of 51
$47.86
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.