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 $67.61 Median $97.72 Typical High $134.90 | Facility | None | $67.61 | $97.72 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $102.33 | Professional | None | $69.18 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $43.65 Typical High $51.29 | Professional | 52 · Reduced service | $34.67 | $43.65 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $17.38 Typical High $20.42 | Professional | 53 · Discontinued | $13.80 | $17.38 | $20.42 |
AvMed Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $213.80 | Facility | None | $91.20 | $120.23 | $213.80 |
AvMed Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $107.15 | Professional | None | $74.13 | $93.33 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $151.36 | Facility | None | $54.95 | $54.95 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $190.55 | Professional | None | $63.10 | $91.20 | $190.55 |
Florida Blue Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $177.83 | Facility | None | $134.90 | $165.96 | $177.83 |
Florida Blue Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $125.89 | Professional | None | $45.71 | $63.10 | $125.89 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $144.54 | Professional | None | $51.29 | $67.61 | $144.54 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $66.07 Median $95.50 Typical High $177.83 | Professional | None | $66.07 | $95.50 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
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 Florida 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.
Florida· 48th of 51
$83.18
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.