How much rates vary
Facilitymedian $129 · 10th to 90th $93 to $186Professionalmedian $102 · 10th to 90th $56 to $170
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 $112.20 Median $112.20 Typical High $128.82 | Facility | None | $112.20 | $112.20 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $112.20 Typical High $123.03 | Professional | None | $109.65 | $112.20 | $123.03 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $63.10 Median $125.89 Typical High $177.83 | Facility | None | $63.10 | $125.89 | $177.83 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $707.95 | Professional | None | $87.10 | $93.33 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $123.03 | Professional | None | $75.86 | $75.86 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $95.50 Typical High $199.53 | Professional | None | $40.74 | $95.50 | $199.53 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $91.20 Typical High $158.49 | Professional | None | $50.12 | $91.20 | $158.49 |
Pacific Source Setting Facility Modifier None Typical Low $95.50 Median $165.96 Typical High $169.82 | Facility | None | $95.50 | $165.96 | $169.82 |
Premera BCBS Setting Facility Modifier None Typical Low $114.82 Median $169.82 Typical High $234.42 | Facility | None | $114.82 | $169.82 | $234.42 |
Premera BCBS Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $114.82 Median $125.89 Typical High $177.83 | Facility | None | $114.82 | $125.89 | $177.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $162.18 | Professional | None | $87.10 | $87.10 | $162.18 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $218.78 | Professional | None | $75.86 | $120.23 | $218.78 |
Wellpoint Setting Professional Modifier None Typical Low $87.10 Median $95.50 Typical High $181.97 | Professional | None | $87.10 | $95.50 | $181.97 |
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 $54.95 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $54.95 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $21.88 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.96 Median $11.22 Typical High $11.22 | Professional | 56 · Pre-op care only | $10.96 | $11.22 | $11.22 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $63.10 Median $69.18 Typical High $69.18 | Professional | GN · Speech therapy plan | $63.10 | $69.18 | $69.18 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | GO · Occupational therapy plan | $87.10 | $87.10 | $87.10 |
Where Washington 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.
Washington· 16th of 51
$105
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.