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 $100.00 Median $128.82 Typical High $181.97 | Facility | None | $100.00 | $128.82 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $112.20 Typical High $131.83 | Professional | None | $100.00 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $56.23 Typical High $66.07 | Professional | 52 · Reduced service | $50.12 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $22.39 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $16.60 Typical High $19.95 | Professional | 55 · Aftercare only | $15.14 | $16.60 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.00 Median $11.22 Typical High $13.18 | Professional | 56 · Pre-op care only | $10.00 | $11.22 | $13.18 |
AvMed Setting Facility Modifier None Typical Low $97.72 Median $123.03 Typical High $125.89 | Facility | None | $97.72 | $123.03 | $125.89 |
AvMed Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $154.88 | Professional | None | $95.50 | $123.03 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $204.17 | Facility | None | $54.95 | $54.95 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $89.13 Typical High $177.83 | Professional | None | $85.11 | $89.13 | $177.83 |
Florida Blue Setting Facility Modifier None Typical Low $151.36 Median $223.87 Typical High $229.09 | Facility | None | $151.36 | $223.87 | $229.09 |
Florida Blue Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $144.54 | Professional | None | $87.10 | $125.89 | $144.54 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $316.23 | Professional | None | $104.71 | $147.91 | $316.23 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $128.82 | Professional | None | $34.67 | $54.95 | $128.82 |
Wellpoint Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $123.03 | Professional | None | $120.23 | $123.03 | $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 $104.71 Median $104.71 Typical High $120.23 | Professional | GN · Speech therapy plan | $104.71 | $104.71 | $120.23 |
Where Florida sits
The same service costs 2.8 times more in Alaska than in Indiana. 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· 50th of 51
$100
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.