How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $85.11 Median $95.50 Typical High $263.03 | Facility | None | $85.11 | $95.50 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $89.13 Typical High $117.49 | Professional | None | $85.11 | $89.13 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $44.67 Typical High $58.88 | Professional | 52 · Reduced service | $41.69 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.78 Typical High $23.44 | Professional | 53 · Discontinued | $16.98 | $17.78 | $23.44 |
BCBS Tennessee Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $186.21 | Professional | None | $83.18 | $107.15 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $245.47 Typical High $281.84 | Facility | None | $186.21 | $245.47 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $100.00 Typical High $199.53 | Professional | None | $83.18 | $100.00 | $199.53 |
Lucent Health Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $776.25 | Professional | None | $758.58 | $758.58 | $776.25 |
United Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $208.93 | Professional | None | $83.18 | $120.23 | $208.93 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | GN · Speech therapy plan | $158.49 | $158.49 | $158.49 |
Where Tennessee 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.
Tennessee· 22nd of 51
$126
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.