How much rates vary
Facilitymedian $148 · 10th to 90th $100 to $457Professionalmedian $91 · 10th to 90th $20 to $129
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 $70.79 Median $131.83 Typical High $524.81 | Facility | None | $70.79 | $131.83 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $107.15 | Professional | None | $57.54 | $70.79 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
BCBS Texas Setting Facility Modifier None Typical Low $100.00 Median $251.19 Typical High $489.78 | Facility | None | $100.00 | $251.19 | $489.78 |
BCBS Texas Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $91.20 | Professional | None | $81.28 | $91.20 | $91.20 |
Baylor Scott & White Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $120.23 | Facility | None | $107.15 | $107.15 | $120.23 |
Christus Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $131.83 | Professional | None | $85.11 | $112.20 | $131.83 |
Lucent Health Setting Professional Modifier None Typical Low $707.95 Median $933.25 Typical High $933.25 | Professional | None | $707.95 | $933.25 | $933.25 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $131.83 Typical High $524.81 | Facility | None | $70.79 | $131.83 | $524.81 |
Moda Health Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $83.18 | Professional | None | $57.54 | $75.86 | $83.18 |
Molina Setting Professional Modifier None Typical Low $15.85 Median $85.11 Typical High $107.15 | Professional | None | $15.85 | $85.11 | $107.15 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $109.65 Typical High $177.83 | Facility | None | $66.07 | $109.65 | $177.83 |
Providence Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $128.82 | Professional | None | $83.18 | $112.20 | $128.82 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $123.03 | Facility | None | $89.13 | $89.13 | $123.03 |
United Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $123.03 | Professional | None | $70.79 | $85.11 | $123.03 |
Wellpoint Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
5 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 Facility Modifier 52 · Reduced service Typical Low $33.88 Median $66.07 Typical High $263.03 | Facility | 52 · Reduced service | $33.88 | $66.07 | $263.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $37.15 Typical High $54.95 | Professional | 52 · Reduced service | $28.84 | $37.15 | $54.95 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $33.88 Median $66.07 Typical High $263.03 | Facility | 52 · Reduced service | $33.88 | $66.07 | $263.03 |
Moda Health Setting Facility Modifier GN · Speech therapy plan Typical Low $107.15 Median $288.40 Typical High $512.86 | Facility | GN · Speech therapy plan | $107.15 | $288.40 | $512.86 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $37.15 Typical High $54.95 | Professional | 52 · Reduced service | $28.84 | $37.15 | $54.95 |
Where Texas 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.
Texas· 41st of 51
$91.20
AK $245KY $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.