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 $75.86 Median $97.72 Typical High $257.04 | Facility | None | $75.86 | $97.72 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $107.15 | Professional | None | $75.86 | $75.86 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $123.03 | Professional | None | $64.57 | $75.86 | $123.03 |
CDPHP Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $141.25 Typical High $151.36 | Facility | None | $125.89 | $141.25 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $251.19 | Professional | None | $95.50 | $100.00 | $251.19 |
Emblem Health Setting Facility Modifier None Typical Low $25.12 Median $97.72 Typical High $346.74 | Facility | None | $25.12 | $97.72 | $346.74 |
Emblem Health Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $162.18 | Professional | None | $89.13 | $107.15 | $162.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $63.10 Median $81.28 Typical High $114.82 | Professional | None | $63.10 | $81.28 | $114.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
MVP Health Care Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
MVP Health Care Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $223.87 | Professional | None | $60.26 | $60.26 | $223.87 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $120.23 | Facility | None | $91.20 | $91.20 | $120.23 |
United Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $190.55 | Professional | None | $69.18 | $91.20 | $190.55 |
Univera Setting Facility Modifier None Typical Low $74.13 Median $100.00 Typical High $371.54 | Facility | None | $74.13 | $100.00 | $371.54 |
Univera Setting Professional Modifier None Typical Low $63.10 Median $81.28 Typical High $114.82 | Professional | None | $63.10 | $81.28 | $114.82 |
4 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 $38.02 Median $38.02 Typical High $51.29 | Professional | 52 · Reduced service | $38.02 | $38.02 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $20.42 | Professional | 53 · Discontinued | $15.14 | $15.14 | $20.42 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $109.65 Median $131.83 Typical High $131.83 | Professional | GL · Free upgrade | $109.65 | $131.83 | $131.83 |
Highmark BCBS Setting Facility Modifier GN · Speech therapy plan Typical Low $77.62 Median $131.83 Typical High $316.23 | Facility | GN · Speech therapy plan | $77.62 | $131.83 | $316.23 |
Where New York 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.
New York· 50th of 51
$77.62
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.