How much rates vary
Facilitymedian $282 · 10th to 90th $200 to $977Professionalmedian $191 · 10th to 90th $46 to $275
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 $117.49 Median $223.87 Typical High $1,000.00 | Facility | None | $117.49 | $223.87 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $223.87 | Professional | None | $117.49 | $144.54 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $234.42 | Professional | None | $154.88 | $154.88 | $234.42 |
BCBS Texas Setting Facility Modifier None Typical Low $218.78 Median $537.03 Typical High $1,047.13 | Facility | None | $218.78 | $537.03 | $1,047.13 |
BCBS Texas Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $186.21 | Professional | None | $165.96 | $186.21 | $186.21 |
Baylor Scott & White Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $120.23 | Facility | None | $107.15 | $107.15 | $120.23 |
Baylor Scott & White Setting Professional Modifier None Typical Low $100.00 Median $239.88 Typical High $269.15 | Professional | None | $100.00 | $239.88 | $269.15 |
Christus Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $275.42 | Professional | None | $173.78 | $229.09 | $275.42 |
Lucent Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,445.44 | $1,862.09 | $1,862.09 |
Moda Health Setting Facility Modifier None Typical Low $128.82 Median $173.78 Typical High $660.69 | Facility | None | $128.82 | $173.78 | $660.69 |
Moda Health Setting Professional Modifier None Typical Low $117.49 Median $154.88 Typical High $190.55 | Professional | None | $117.49 | $154.88 | $190.55 |
Molina Setting Professional Modifier None Typical Low $36.31 Median $199.53 Typical High $245.47 | Professional | None | $36.31 | $199.53 | $245.47 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $204.17 Typical High $323.59 | Facility | None | $117.49 | $204.17 | $323.59 |
Providence Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $263.03 | Professional | None | $169.82 | $229.09 | $263.03 |
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 $147.91 Median $177.83 Typical High $257.04 | Professional | None | $147.91 | $177.83 | $257.04 |
Wellpoint Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
7 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 Facility Modifier 52 · Reduced service Typical Low $69.18 Median $134.90 Typical High $524.81 | Facility | 52 · Reduced service | $69.18 | $134.90 | $524.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $75.86 Typical High $112.20 | Professional | 52 · Reduced service | $58.88 | $75.86 | $112.20 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $154.88 Median $177.83 Typical High $223.87 | Professional | GN · Speech therapy plan | $154.88 | $177.83 | $223.87 |
Ambetter Setting Professional Modifier U5 · State-defined Typical Low $123.03 Median $177.83 Typical High $177.83 | Professional | U5 · State-defined | $123.03 | $177.83 | $177.83 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $69.18 Median $134.90 Typical High $524.81 | Facility | 52 · Reduced service | $69.18 | $134.90 | $524.81 |
Moda Health Setting Facility Modifier GN · Speech therapy plan Typical Low $107.15 Median $295.12 Typical High $549.54 | Facility | GN · Speech therapy plan | $107.15 | $295.12 | $549.54 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $75.86 Typical High $112.20 | Professional | 52 · Reduced service | $58.88 | $75.86 | $112.20 |
Where Texas 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.
Texas· 38th of 51
$195
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.