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 Facility Modifier None Typical Low $72.44 Median $107.15 Typical High $165.96 | Facility | None | $72.44 | $107.15 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $107.15 | Professional | None | $72.44 | $104.71 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $83.18 | Professional | None | $56.23 | $70.79 | $83.18 |
CareSource Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $165.96 | Facility | None | $87.10 | $117.49 | $165.96 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $128.82 Typical High $165.96 | Professional | None | $93.33 | $128.82 | $165.96 |
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 $85.11 Median $104.71 Typical High $537.03 | Professional | None | $85.11 | $104.71 | $537.03 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $138.04 | Professional | None | $83.18 | $95.50 | $138.04 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $51.29 Typical High $53.70 | Professional | 52 · Reduced service | $36.31 | $51.29 | $53.70 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | GN · Speech therapy plan | $87.10 | $87.10 | $89.13 |
Where Kentucky 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.
Kentucky· 51st of 51
$74.13
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.