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 $60.26 Median $158.49 Typical High $275.42 | Facility | None | $60.26 | $158.49 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $134.90 | Professional | None | $131.83 | $134.90 | $134.90 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $123.03 Median $208.93 Typical High $316.23 | Facility | None | $123.03 | $208.93 | $316.23 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $309.03 | Professional | None | $144.54 | $194.98 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $257.04 Typical High $257.04 | Professional | None | $147.91 | $257.04 | $257.04 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $181.97 Typical High $263.03 | Facility | None | $83.18 | $181.97 | $263.03 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $1,445.44 | Professional | None | $158.49 | $204.17 | $1,445.44 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $251.19 | Facility | None | $181.97 | $181.97 | $251.19 |
United Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $263.03 | Professional | None | $151.36 | $186.21 | $263.03 |
3 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 $66.07 Median $67.61 Typical High $75.86 | Professional | 52 · Reduced service | $66.07 | $67.61 | $75.86 |
Ambetter Setting Professional Modifier 96 · Habilitative service Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 96 · Habilitative service | $229.09 | $229.09 | $229.09 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $165.96 Median $173.78 Typical High $213.80 | Professional | GN · Speech therapy plan | $165.96 | $173.78 | $213.80 |
Where Oklahoma 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.
Oklahoma· 36th 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.