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 $48.98 Median $74.13 Typical High $125.89 | Facility | None | $48.98 | $74.13 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $95.50 | Professional | None | $48.98 | $67.61 | $95.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $24.55 Median $33.88 Typical High $43.65 | Professional | 52 · Reduced service | $24.55 | $33.88 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $13.49 Typical High $17.38 | Professional | 53 · Discontinued | $9.77 | $13.49 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $10.23 Typical High $13.18 | Professional | 55 · Aftercare only | $7.24 | $10.23 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $6.76 Typical High $8.71 | Professional | 56 · Pre-op care only | $4.90 | $6.76 | $8.71 |
AvMed Setting Facility Modifier None Typical Low $67.61 Median $85.11 Typical High $87.10 | Facility | None | $67.61 | $85.11 | $87.10 |
AvMed Setting Professional Modifier None Typical Low $28.84 Median $83.18 Typical High $89.13 | Professional | None | $28.84 | $83.18 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $141.25 | Facility | None | $54.95 | $54.95 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $60.26 Typical High $117.49 | Professional | None | $58.88 | $60.26 | $117.49 |
Florida Blue Setting Facility Modifier None Typical Low $83.18 Median $151.36 Typical High $158.49 | Facility | None | $83.18 | $151.36 | $158.49 |
Florida Blue Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $79.43 | Professional | None | $56.23 | $72.44 | $79.43 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $83.18 Typical High $162.18 | Professional | None | $58.88 | $83.18 | $162.18 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $81.28 | Professional | None | $34.67 | $54.95 | $81.28 |
Wellpoint Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $83.18 | Professional | None | $66.07 | $66.07 | $83.18 |
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 $57.54 Median $66.07 Typical High $66.07 | Professional | GN · Speech therapy plan | $57.54 | $66.07 | $66.07 |
Where Florida 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.
Florida· 48th of 51
$66.07
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.