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 $204.17 Median $204.17 Typical High $575.44 | Facility | None | $204.17 | $204.17 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $204.17 Typical High $204.17 | Professional | None | $186.21 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $100.00 Typical High $102.33 | Professional | 52 · Reduced service | $93.33 | $100.00 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $389.05 | Professional | None | $190.55 | $223.87 | $389.05 |
Emblem Health Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $436.52 | Professional | None | $263.03 | $263.03 | $436.52 |
Horizon BCBS Setting Professional Modifier None Typical Low $186.21 Median $204.17 Typical High $218.78 | Professional | None | $186.21 | $204.17 | $218.78 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $223.87 | Facility | None | $204.17 | $204.17 | $223.87 |
United Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $338.84 | Professional | None | $138.04 | $186.21 | $338.84 |
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 $234.42 Median $234.42 Typical High $234.42 | Professional | GN · Speech therapy plan | $234.42 | $234.42 | $234.42 |
Where New Jersey 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.
New Jersey· 33rd of 51
$204
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.