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 $144.54 Median $181.97 Typical High $218.78 | Facility | None | $144.54 | $181.97 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $117.49 Typical High $117.49 | Professional | None | $93.33 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $281.84 | Professional | None | $128.82 | $158.49 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $181.97 Median $208.93 Typical High $257.04 | Professional | None | $181.97 | $208.93 | $257.04 |
Moda Health Setting Facility Modifier None Typical Low $144.54 Median $208.93 Typical High $234.42 | Facility | None | $144.54 | $208.93 | $234.42 |
Moda Health Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $257.04 | Professional | None | $117.49 | $151.36 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $186.21 | Facility | None | $104.71 | $165.96 | $186.21 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $208.93 Typical High $245.47 | Facility | None | $107.15 | $208.93 | $245.47 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $173.78 Typical High $269.15 | Professional | None | $79.43 | $173.78 | $269.15 |
Regence BlueShield Setting Facility Modifier None Typical Low $162.18 Median $223.87 Typical High $371.54 | Facility | None | $162.18 | $223.87 | $371.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $257.04 | Professional | None | $158.49 | $186.21 | $257.04 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $147.91 | Facility | None | $100.00 | $100.00 | $147.91 |
United Setting Professional Modifier None Typical Low $95.50 Median $181.97 Typical High $275.42 | Professional | None | $95.50 | $181.97 | $275.42 |
5 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 $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $46.77 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $18.62 | $23.44 | $23.44 |
Moda Health Setting Facility Modifier GN · Speech therapy plan Typical Low $331.13 Median $478.63 Typical High $691.83 | Facility | GN · Speech therapy plan | $331.13 | $478.63 | $691.83 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $44.67 | $58.88 | $58.88 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $17.78 | $23.44 | $23.44 |
Where Oregon 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.
Oregon· 8th of 51
$174
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.