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 $199.53 Median $199.53 Typical High $263.03 | Facility | None | $199.53 | $199.53 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
BCBS Michigan Setting Facility Modifier None Typical Low $426.58 Median $630.96 Typical High $1,659.59 | Facility | None | $426.58 | $630.96 | $1,659.59 |
BCBS Michigan Setting Professional Modifier None (both parts) Typical Low $331.13 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $331.13 | $346.74 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $309.03 | Facility | None | $186.21 | $186.21 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $524.81 | Professional | None (both parts) | $173.78 | $234.42 | $524.81 |
Health Alliance Plan Setting Facility Modifier None Typical Low $199.53 Median $234.42 Typical High $537.03 | Facility | None | $199.53 | $234.42 | $537.03 |
Health Alliance Plan Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $245.47 | Professional | None (both parts) | $186.21 | $199.53 | $245.47 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $100.00 | $100.00 | $100.00 |
Priority Health Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $173.78 | $213.80 | $416.87 |
United Setting Facility Modifier None Typical Low $181.97 Median $223.87 Typical High $251.19 | Facility | None | $181.97 | $223.87 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $181.97 | $213.80 | $251.19 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $173.78 Median $218.78 Typical High $218.78 | Professional | GN · Speech therapy plan | $173.78 | $218.78 | $218.78 |
BCBS Michigan Setting Professional Modifier RR · Rental Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | RR · Rental | $295.12 | $295.12 | $295.12 |
BCBS Michigan Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | TC · Technical part | $295.12 | $295.12 | $309.03 |
Health Alliance Plan Setting Facility Modifier GN · Speech therapy plan Typical Low $234.42 Median $331.13 Typical High $562.34 | Facility | GN · Speech therapy plan | $234.42 | $331.13 | $562.34 |
Health Alliance Plan Setting Professional Modifier GN · Speech therapy plan Typical Low $331.13 Median $398.11 Typical High $660.69 | Professional | GN · Speech therapy plan | $331.13 | $398.11 | $660.69 |
Where Michigan 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.
Michigan· 35th of 51
$200
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.