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 $69.18 Median $87.10 Typical High $151.36 | Facility | None | $69.18 | $87.10 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $112.20 | Professional | None | $69.18 | $87.10 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $43.65 Typical High $54.95 | Professional | 52 · Reduced service | $34.67 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $22.39 | Professional | 53 · Discontinued | $13.80 | $17.38 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $13.18 Typical High $16.60 | Professional | 55 · Aftercare only | $10.47 | $13.18 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $8.71 Typical High $11.22 | Professional | 56 · Pre-op care only | $6.92 | $8.71 | $11.22 |
AvMed Setting Facility Modifier None Typical Low $83.18 Median $102.33 Typical High $104.71 | Facility | None | $83.18 | $102.33 | $104.71 |
AvMed Setting Professional Modifier None Typical Low $79.43 Median $100.00 Typical High $107.15 | Professional | None | $79.43 | $100.00 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $169.82 | Facility | None | $54.95 | $54.95 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $141.25 | Professional | None | $70.79 | $74.13 | $141.25 |
Florida Blue Setting Facility Modifier None Typical Low $75.86 Median $186.21 Typical High $194.98 | Facility | None | $75.86 | $186.21 | $194.98 |
Florida Blue Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $72.44 | Professional | None | $51.29 | $72.44 | $72.44 |
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $95.50 | Professional | None | $34.67 | $54.95 | $95.50 |
Wellpoint Setting Professional Modifier None Typical Low $100.00 Median $102.33 Typical High $102.33 | Professional | None | $100.00 | $102.33 | $102.33 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | GN · Speech therapy plan | $79.43 | $79.43 | $79.43 |
Where Florida sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 48th of 51
$75.86
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.