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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | None | $93.33 | $109.65 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
BCBS Arkansas Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $125.89 | Facility | None | $89.13 | $89.13 | $125.89 |
BCBS Arkansas Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $131.83 | Professional | None | $97.72 | $97.72 | $131.83 |
CareSource Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $141.25 | Professional | None | $81.28 | $117.49 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $123.03 Typical High $181.97 | Professional | None | $87.10 | $123.03 | $181.97 |
Qualchoice Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
United Setting Facility Modifier None Typical Low $83.18 Median $91.20 Typical High $91.20 | Facility | None | $83.18 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $190.55 | Professional | None | $81.28 | $109.65 | $190.55 |
3 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 $46.77 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $46.77 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $19.05 | $21.88 | $21.88 |
Qualchoice Setting Professional Modifier GN · Speech therapy plan Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | GN · Speech therapy plan | $131.83 | $131.83 | $131.83 |
Where Arkansas sits
The same service costs 3.8 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.
Arkansas· 33rd of 51
$110
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.