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 $125.89 Median $158.49 Typical High $323.59 | Facility | None | $125.89 | $158.49 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $165.96 | Professional | None | $112.20 | $125.89 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $61.66 Typical High $79.43 | Professional | 52 · Reduced service | $56.23 | $61.66 | $79.43 |
BCBS Tennessee Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $501.19 | Professional | None | $181.97 | $208.93 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $295.12 | Professional | None | $173.78 | $213.80 | $295.12 |
Lucent Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,862.09 | Professional | None | $1,445.44 | $1,445.44 | $1,862.09 |
United Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $338.84 | Professional | None | $158.49 | $190.55 | $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 $173.78 Median $173.78 Typical High $218.78 | Professional | GN · Speech therapy plan | $173.78 | $173.78 | $218.78 |
Where Tennessee 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.
Tennessee· 39th of 51
$191
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.