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 $131.83 Median $223.87 Typical High $223.87 | Facility | None | $131.83 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $223.87 Typical High $223.87 | Professional | None | $204.17 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $102.33 | $112.20 | $112.20 |
BCBS Alabama Setting Facility Modifier None Typical Low $50.12 Median $51.29 Typical High $51.29 | Facility | None | $50.12 | $51.29 | $51.29 |
BCBS Alabama Setting Professional Modifier 10 + 12 Typical Low $162.18 Median $223.87 Typical High $275.42 | Professional | 10 + 12 | $162.18 | $223.87 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $281.84 | Professional | None | $181.97 | $213.80 | $281.84 |
United Setting Facility Modifier None Typical Low $181.97 Median $223.87 Typical High $223.87 | Facility | None | $181.97 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $251.19 | Professional | None | $144.54 | $186.21 | $251.19 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | GN · Speech therapy plan | $169.82 | $169.82 | $169.82 |
Where Alabama sits
The same service costs 3.2 times more in Alaska than in Florida. 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.
Alabama· 26th of 51
$224
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.