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 $40.74 Median $107.15 Typical High $107.15 | Facility | None | $40.74 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | None | $91.20 | $107.15 | $107.15 |
BCBS Arkansas Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $123.03 | Facility | None | $87.10 | $87.10 | $123.03 |
BCBS Arkansas Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $85.11 | Professional | None | $77.62 | $77.62 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $117.49 Typical High $134.90 | Professional | None | $64.57 | $117.49 | $134.90 |
United Setting Facility Modifier None Typical Low $75.86 Median $85.11 Typical High $85.11 | Facility | None | $75.86 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $141.25 | Professional | None | $64.57 | $83.18 | $141.25 |
6 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 $52.48 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $52.48 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $20.89 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $16.22 Typical High $16.22 | Professional | 55 · Aftercare only | $15.49 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $10.72 Typical High $10.72 | Professional | 56 · Pre-op care only | $10.47 | $10.72 | $10.72 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | GN · Speech therapy plan | $100.00 | $107.15 | $107.15 |
Qualchoice Setting Professional Modifier GN · Speech therapy plan Typical Low $114.82 Median $123.03 Typical High $123.03 | Professional | GN · Speech therapy plan | $114.82 | $123.03 | $123.03 |
Where Arkansas sits
The same service costs 2.9 times more in Alaska than in Utah. 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.
Arkansas· 36th of 51
$85.11
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.