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 $95.50 Median $138.04 Typical High $338.84 | Facility | None | $95.50 | $138.04 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | None | $83.18 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $41.69 Typical High $47.86 | Professional | 52 · Reduced service | $41.69 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $19.05 | Professional | 53 · Discontinued | $16.98 | $16.98 | $19.05 |
BCBS Arizona Setting Facility Modifier None Typical Low $89.13 Median $389.05 Typical High $575.44 | Facility | None | $89.13 | $389.05 | $575.44 |
BCBS Arizona Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $173.78 | Professional | None | $89.13 | $89.13 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $199.53 | Professional | None | $83.18 | $97.72 | $199.53 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $93.33 Typical High $416.87 | Facility | None | $83.18 | $93.33 | $416.87 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $741.31 Typical High $741.31 | Professional | None | $87.10 | $741.31 | $741.31 |
United Setting Professional Modifier None Typical Low $81.28 Median $97.72 Typical High $162.18 | Professional | None | $81.28 | $97.72 | $162.18 |
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 $93.33 Median $93.33 Typical High $93.33 | Professional | GN · Speech therapy plan | $93.33 | $93.33 | $93.33 |
Where Arizona 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.
Arizona· 42nd 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.