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 $79.43 Median $117.49 Typical High $158.49 | Facility | None | $79.43 | $117.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $109.65 | Professional | None | $66.07 | $79.43 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $91.20 Typical High $151.36 | Professional | None | $74.13 | $91.20 | $151.36 |
BCBS Kansas City Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $125.89 | Professional | None | $112.20 | $120.23 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $208.93 | Professional | None | $93.33 | $109.65 | $208.93 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $138.04 Typical High $512.86 | Facility | None | $109.65 | $138.04 | $512.86 |
Medica Setting Professional Modifier None Typical Low $83.18 Median $123.03 Typical High $707.95 | Professional | None | $83.18 | $123.03 | $707.95 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $239.88 | Professional | None | $83.18 | $112.20 | $239.88 |
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 $39.81 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $39.81 | $39.81 | $40.74 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | GN · Speech therapy plan | $89.13 | $89.13 | $89.13 |
Where Missouri 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.
Missouri· 43rd 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.