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 $114.82 Median $181.97 Typical High $338.84 | Facility | None | $114.82 | $181.97 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $162.18 Typical High $204.17 | Professional | None | $114.82 | $162.18 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $77.62 Typical High $100.00 | Professional | 52 · Reduced service | $57.54 | $77.62 | $100.00 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 52 · Reduced service | $45.71 | $45.71 | $45.71 |
AvMed Setting Facility Modifier None Typical Low $181.97 Median $229.09 Typical High $229.09 | Facility | None | $181.97 | $229.09 | $229.09 |
AvMed Setting Professional Modifier None Typical Low $177.83 Median $223.87 Typical High $234.42 | Professional | None | $177.83 | $223.87 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $380.19 | Facility | None | $54.95 | $54.95 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $162.18 Typical High $281.84 | Professional | None | $158.49 | $162.18 | $281.84 |
Florida Blue Setting Facility Modifier None Typical Low $147.91 Median $407.38 Typical High $426.58 | Facility | None | $147.91 | $407.38 | $426.58 |
Florida Blue Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $154.88 | Professional | None | $100.00 | $141.25 | $154.88 |
Molina Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $549.54 | Professional | None | $181.97 | $263.03 | $549.54 |
United Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $186.21 | Professional | None | $34.67 | $54.95 | $186.21 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 59 · Distinct service | $177.83 | $177.83 | $177.83 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $100.00 Median $177.83 Typical High $186.21 | Professional | GN · Speech therapy plan | $100.00 | $177.83 | $186.21 |
Where Florida 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.
Florida· 51st of 51
$155
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.