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 $186.21 Median $186.21 Typical High $489.78 | Facility | None | $186.21 | $186.21 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $204.17 | Professional | None | $165.96 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $93.33 Typical High $100.00 | Professional | 52 · Reduced service | $83.18 | $93.33 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $281.84 | Professional | None | $169.82 | $213.80 | $281.84 |
United Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $316.23 | Professional | None | $158.49 | $169.82 | $316.23 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier GN · Speech therapy plan Typical Low $213.80 Median $549.54 Typical High $1,479.11 | Facility | GN · Speech therapy plan | $213.80 | $549.54 | $1,479.11 |
Highmark BCBS Setting Professional Modifier 96 · Habilitative service + GN · Speech therapy plan Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 96 · Habilitative service + GN · Speech therapy plan | $213.80 | $213.80 | $213.80 |
Where Delaware 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.
Delaware· 45th of 51
$186
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.