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 $218.78 Median $398.11 Typical High $724.44 | Facility | None | $218.78 | $398.11 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $389.05 | Professional | None | $204.17 | $218.78 | $389.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $251.19 | Professional | None | $131.83 | $181.97 | $251.19 |
CareSource Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $288.40 | Professional | None | $213.80 | $223.87 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $199.53 Typical High $371.54 | Professional | None | $162.18 | $199.53 | $371.54 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $208.93 Median $316.23 Typical High $630.96 | Facility | None | $208.93 | $316.23 | $630.96 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $162.18 Median $199.53 Typical High $346.74 | Professional | None | $162.18 | $199.53 | $346.74 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $229.09 Typical High $346.74 | Professional | None | $165.96 | $229.09 | $346.74 |
SummaCare Setting Professional Modifier None Typical Low $186.21 Median $229.09 Typical High $269.15 | Professional | None | $186.21 | $229.09 | $269.15 |
United Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $251.19 | Facility | None | $181.97 | $204.17 | $251.19 |
United Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $389.05 | Professional | None | $158.49 | $190.55 | $389.05 |
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 $102.33 Median $109.65 Typical High $162.18 | Professional | 52 · Reduced service | $102.33 | $109.65 | $162.18 |
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 Ohio 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.
Ohio· 37th of 51
$195
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.