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 $100.00 Median $104.71 Typical High $128.82 | Facility | None | $100.00 | $104.71 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $102.33 Typical High $104.71 | Professional | None | $97.72 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $48.98 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $48.98 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.42 Typical High $20.89 | Professional | 53 · Discontinued | $19.50 | $20.42 | $20.89 |
BCBS Michigan Setting Facility Modifier None Typical Low $158.49 Median $239.88 Typical High $549.54 | Facility | None | $158.49 | $239.88 | $549.54 |
BCBS Michigan Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $151.36 | Professional | None | $134.90 | $141.25 | $151.36 |
CareSource Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $162.18 | Facility | None | $95.50 | $95.50 | $162.18 |
CareSource Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $138.04 | Professional | None | $83.18 | $93.33 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $234.42 | Professional | None | $81.28 | $112.20 | $234.42 |
Health Alliance Plan Setting Facility Modifier None Typical Low $102.33 Median $128.82 Typical High $281.84 | Facility | None | $102.33 | $128.82 | $281.84 |
Health Alliance Plan Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $128.82 | Professional | None | $95.50 | $107.15 | $128.82 |
Health Alliance Plan Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $53.70 | $53.70 | $53.70 |
Health Alliance Plan Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.38 |
Priority Health Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $169.82 | Professional | None | $72.44 | $100.00 | $169.82 |
United Setting Facility Modifier None Typical Low $72.44 Median $91.20 Typical High $100.00 | Facility | None | $72.44 | $91.20 | $100.00 |
United Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $138.04 | Professional | None | $81.28 | $104.71 | $138.04 |
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 |
|---|---|---|---|---|---|
Health Alliance Plan Setting Facility Modifier GN · Speech therapy plan Typical Low $125.89 Median $295.12 Typical High $707.95 | Facility | GN · Speech therapy plan | $125.89 | $295.12 | $707.95 |
Where Michigan 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.
Michigan· 29th of 51
$115
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.