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 $151.36 Median $218.78 Typical High $346.74 | Facility | None | $151.36 | $218.78 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $218.78 | Professional | None | $151.36 | $218.78 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $186.21 | Professional | None | $125.89 | $151.36 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $177.83 Median $239.88 Typical High $295.12 | Facility | None | $177.83 | $239.88 | $295.12 |
CareSource Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $295.12 | Professional | None | $213.80 | $223.87 | $295.12 |
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 $173.78 Median $213.80 Typical High $1,096.48 | Professional | None | $173.78 | $213.80 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $288.40 | Professional | None | $169.82 | $199.53 | $288.40 |
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 $75.86 Median $104.71 Typical High $109.65 | Professional | 52 · Reduced service | $75.86 | $104.71 | $109.65 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | GN · Speech therapy plan | $173.78 | $173.78 | $173.78 |
Where Kentucky 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.
Kentucky· 50th of 51
$158
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.