How much rates vary
Facilitymedian $191 · 10th to 90th $59 to $427Professionalmedian $209 · 10th to 90th $158 to $245
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 $128.82 Median $218.78 Typical High $389.05 | Facility | None | $128.82 | $218.78 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $190.55 | Professional | None | $128.82 | $128.82 | $190.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $245.47 | Professional | None | $177.83 | $213.80 | $245.47 |
CDPHP Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $229.09 Typical High $380.19 | Facility | None | $125.89 | $229.09 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $416.87 | Professional | None | $204.17 | $239.88 | $416.87 |
Emblem Health Setting Facility Modifier None Typical Low $158.49 Median $257.04 Typical High $870.96 | Facility | None | $158.49 | $257.04 | $870.96 |
Emblem Health Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $363.08 | Professional | None | $251.19 | $263.03 | $363.08 |
Excellus BCBS Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $70.79 | Facility | None | $58.88 | $58.88 | $70.79 |
Excellus BCBS Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $257.04 | Professional | None | $162.18 | $223.87 | $257.04 |
Highmark BCBS Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
MVP Health Care Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
MVP Health Care Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $239.88 | Professional | None | $38.90 | $38.90 | $239.88 |
United Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $295.12 | Facility | None | $223.87 | $223.87 | $295.12 |
United Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $281.84 | Professional | None | $158.49 | $194.98 | $281.84 |
Univera Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $389.05 | Facility | None | $58.88 | $58.88 | $389.05 |
Univera Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $257.04 | Professional | None | $162.18 | $223.87 | $257.04 |
8 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 $64.57 Median $64.57 Typical High $95.50 | Professional | 52 · Reduced service | $64.57 | $64.57 | $95.50 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $57.54 Median $177.83 Typical High $218.78 | Professional | GN · Speech therapy plan | $57.54 | $177.83 | $218.78 |
Excellus BCBS Setting Professional Modifier GN · Speech therapy plan Typical Low $120.23 Median $120.23 Typical High $199.53 | Professional | GN · Speech therapy plan | $120.23 | $120.23 | $199.53 |
Excellus BCBS Setting Professional Modifier GO · Occupational therapy plan Typical Low $120.23 Median $120.23 Typical High $199.53 | Professional | GO · Occupational therapy plan | $120.23 | $120.23 | $199.53 |
Excellus BCBS Setting Professional Modifier GP · Physical therapy plan Typical Low $120.23 Median $120.23 Typical High $199.53 | Professional | GP · Physical therapy plan | $120.23 | $120.23 | $199.53 |
Univera Setting Professional Modifier GN · Speech therapy plan Typical Low $120.23 Median $199.53 Typical High $199.53 | Professional | GN · Speech therapy plan | $120.23 | $199.53 | $199.53 |
Univera Setting Professional Modifier GO · Occupational therapy plan Typical Low $120.23 Median $199.53 Typical High $199.53 | Professional | GO · Occupational therapy plan | $120.23 | $199.53 | $199.53 |
Univera Setting Professional Modifier GP · Physical therapy plan Typical Low $120.23 Median $199.53 Typical High $199.53 | Professional | GP · Physical therapy plan | $120.23 | $199.53 | $199.53 |
Where New York 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 York· 31st of 51
$209
AK $501FL $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.