How much rates vary
Facilitymedian $158 · 10th to 90th $93 to $240Professionalmedian $98 · 10th to 90th $81 to $129
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 $93.33 Median $95.50 Typical High $104.71 | Facility | None | $93.33 | $95.50 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | None | $93.33 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $45.71 Median $46.77 Typical High $48.98 | Professional | 52 · Reduced service | $45.71 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $19.50 | Professional | 53 · Discontinued | $18.62 | $18.62 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $14.13 Typical High $14.79 | Professional | 55 · Aftercare only | $13.80 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $9.33 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.33 | $9.33 | $9.77 |
BCBS Michigan Setting Facility Modifier None Typical Low $138.04 Median $194.98 Typical High $257.04 | Facility | None | $138.04 | $194.98 | $257.04 |
BCBS Michigan Setting Professional Modifier None Typical Low $123.03 Median $128.82 Typical High $128.82 | Professional | None | $123.03 | $128.82 | $128.82 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $134.90 | Facility | None | $15.14 | $15.14 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $194.98 | Professional | None | $74.13 | $93.33 | $194.98 |
Health Alliance Plan Setting Facility Modifier None Typical Low $93.33 Median $104.71 Typical High $239.88 | Facility | None | $93.33 | $104.71 | $239.88 |
Health Alliance Plan Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $109.65 | Professional | None | $81.28 | $97.72 | $109.65 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.95 | $19.95 | $19.95 |
Health Alliance Plan Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 55 · Aftercare only | $14.79 | $14.79 | $14.79 |
Health Alliance Plan Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 56 · Pre-op care only | $9.77 | $9.77 | $9.77 |
Priority Health Setting Professional Modifier None Typical Low $67.61 Median $91.20 Typical High $154.88 | Professional | None | $67.61 | $91.20 | $154.88 |
United Setting Facility Modifier None Typical Low $67.61 Median $85.11 Typical High $93.33 | Facility | None | $67.61 | $85.11 | $93.33 |
United Setting Professional Modifier None Typical Low $28.84 Median $89.13 Typical High $107.15 | Professional | None | $28.84 | $89.13 | $107.15 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $69.18 Median $79.43 Typical High $91.20 | Professional | GN · Speech therapy plan | $69.18 | $79.43 | $91.20 |
Health Alliance Plan Setting Facility Modifier GN · Speech therapy plan Typical Low $134.90 Median $181.97 Typical High $316.23 | Facility | GN · Speech therapy plan | $134.90 | $181.97 | $316.23 |
Where Michigan 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.
Michigan· 21st of 51
$97.72
AK $186UT $64.57
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.