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 $87.10 Median $89.13 Typical High $147.91 | Facility | None | $87.10 | $89.13 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $147.91 | Professional | None | $87.10 | $100.00 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $53.70 Typical High $74.13 | Professional | 52 · Reduced service | $43.65 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $21.38 Typical High $29.51 | Professional | 53 · Discontinued | $17.78 | $21.38 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $16.22 Typical High $21.88 | Professional | 55 · Aftercare only | $13.18 | $16.22 | $21.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $10.72 Typical High $14.79 | Professional | 56 · Pre-op care only | $8.71 | $10.72 | $14.79 |
BCBS Mississippi Setting Facility Modifier None Typical Low $104.71 Median $107.15 Typical High $107.15 | Facility | None | $104.71 | $107.15 | $107.15 |
BCBS Mississippi Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $131.83 | Professional | None | $64.57 | $81.28 | $131.83 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $75.86 Median $93.33 Typical High $93.33 | Facility | None | $75.86 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $57.54 Median $83.18 Typical High $123.03 | Professional | None | $57.54 | $83.18 | $123.03 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | GN · Speech therapy plan | $63.10 | $63.10 | $63.10 |
Where Mississippi 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.
Mississippi· 25th of 51
$93.33
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.