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 $269.15 Median $269.15 Typical High $281.84 | Facility | None | $269.15 | $269.15 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $269.15 Typical High $269.15 | Professional | None | $218.78 | $269.15 | $269.15 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $169.82 Median $338.84 Typical High $457.09 | Facility | None | $169.82 | $338.84 | $457.09 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $1,862.09 | Professional | None | $229.09 | $229.09 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | None | $173.78 | $173.78 | $295.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $501.19 | Professional | None | $173.78 | $245.47 | $501.19 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $316.23 Typical High $549.54 | Professional | None | $134.90 | $316.23 | $549.54 |
Pacific Source Setting Facility Modifier None Typical Low $218.78 Median $371.54 Typical High $389.05 | Facility | None | $218.78 | $371.54 | $389.05 |
Premera BCBS Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $630.96 | Facility | None | $302.00 | $457.09 | $630.96 |
Premera BCBS Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Regence BlueShield Setting Facility Modifier None Typical Low $309.03 Median $338.84 Typical High $457.09 | Facility | None | $309.03 | $338.84 | $457.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $436.52 | Professional | None | $229.09 | $229.09 | $436.52 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $562.34 | Professional | None | $223.87 | $269.15 | $562.34 |
Wellpoint Setting Professional Modifier None Typical Low $234.42 Median $257.04 Typical High $489.78 | Professional | None | $234.42 | $257.04 | $489.78 |
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 $112.20 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $112.20 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $169.82 Median $186.21 Typical High $234.42 | Professional | GN · Speech therapy plan | $169.82 | $186.21 | $234.42 |
Where Washington 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.
Washington· 15th of 51
$269
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.