How much rates vary
Facilitymedian $174 · 10th to 90th $120 to $1,862Professionalmedian $126 · 10th to 90th $117 to $155
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 $131.83 Median $131.83 Typical High $1,412.54 | Facility | None | $131.83 | $131.83 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $131.83 | Professional | None | $117.49 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | 52 · Reduced service | $58.88 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $23.99 | $26.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.78 Typical High $19.95 | Professional | 55 · Aftercare only | $17.38 | $17.78 | $19.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.02 Typical High $13.18 | Professional | 56 · Pre-op care only | $11.75 | $12.02 | $13.18 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $123.03 Median $128.82 Typical High $128.82 | Professional | None | $123.03 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $218.78 | Facility | None | $134.90 | $134.90 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $134.90 Typical High $302.00 | Professional | None | $120.23 | $134.90 | $302.00 |
Emblem Health Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $199.53 | Professional | None | $162.18 | $165.96 | $199.53 |
Geisinger Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Geisinger Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $257.04 | Professional | None | $117.49 | $147.91 | $257.04 |
Martin's Point Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $1,862.09 | Facility | None | $131.83 | $131.83 | $1,862.09 |
Martin's Point Setting Professional Modifier None Typical Low $117.49 Median $120.23 Typical High $131.83 | Professional | None | $117.49 | $120.23 | $131.83 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $58.88 Typical High $66.07 | Professional | 52 · Reduced service | $58.88 | $58.88 | $66.07 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $23.44 | $23.99 | $26.30 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $17.78 Typical High $19.95 | Professional | 55 · Aftercare only | $17.38 | $17.78 | $19.95 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $12.02 Typical High $13.18 | Professional | 56 · Pre-op care only | $11.75 | $12.02 | $13.18 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $346.74 | Professional | None | $141.25 | $213.80 | $346.74 |
UPMC Health Plan Setting Facility Modifier None Typical Low $109.65 Median $302.00 Typical High $524.81 | Facility | None | $109.65 | $302.00 | $524.81 |
UPMC Health Plan Setting Professional Modifier None Typical Low $109.65 Median $120.23 Typical High $173.78 | Professional | None | $109.65 | $120.23 | $173.78 |
United Setting Facility Modifier None Typical Low $123.03 Median $134.90 Typical High $134.90 | Facility | None | $123.03 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $208.93 | Professional | None | $104.71 | $123.03 | $208.93 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier GN · Speech therapy plan Typical Low $263.03 Median $398.11 Typical High $537.03 | Facility | GN · Speech therapy plan | $263.03 | $398.11 | $537.03 |
Where Pennsylvania 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.
Pennsylvania· 38th of 51
$126
AK $269IN $95.50
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.