How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $239.88 | Facility | None | $91.20 | $91.20 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $100.00 | Professional | None | $81.28 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $39.81 | $45.71 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $134.90 | Professional | None | $83.18 | $102.33 | $134.90 |
United Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $151.36 | Professional | None | $75.86 | $79.43 | $151.36 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier GN · Speech therapy plan Typical Low $104.71 Median $251.19 Typical High $707.95 | Facility | GN · Speech therapy plan | $104.71 | $251.19 | $707.95 |
Where Delaware sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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.
Delaware· 44th of 51
$91.20
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.