How much rates vary
Facilitymedian $135 · 10th to 90th $66 to $427Professionalmedian $74 · 10th to 90th $11 to $759
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 $69.18 Median $85.11 Typical High $128.82 | Facility | None | $69.18 | $85.11 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $109.65 | Professional | None | $69.18 | $85.11 | $109.65 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $109.65 | Professional | None | $70.79 | $75.86 | $109.65 |
BCBS Texas Setting Facility Modifier None Typical Low $97.72 Median $251.19 Typical High $478.63 | Facility | None | $97.72 | $251.19 | $478.63 |
BCBS Texas Setting Professional Modifier None Typical Low $66.07 Median $74.13 Typical High $144.54 | Professional | None | $66.07 | $74.13 | $144.54 |
Christus Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $138.04 | Facility | None | $97.72 | $97.72 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $169.82 | Professional | None | $85.11 | $100.00 | $169.82 |
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 |
Moda Health Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $263.03 | Facility | None | $83.18 | $107.15 | $263.03 |
Moda Health Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $117.49 | Professional | None | $70.79 | $85.11 | $117.49 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $58.88 Typical High $74.13 | Professional | None | $10.00 | $58.88 | $74.13 |
Oscar Health Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $346.74 | Professional | None | $323.59 | $338.84 | $346.74 |
Providence Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $154.88 | Facility | None | $83.18 | $107.15 | $154.88 |
Providence Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $169.82 | Professional | None | $85.11 | $100.00 | $169.82 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $100.00 | Facility | None | $72.44 | $72.44 | $100.00 |
United Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $158.49 | Professional | None | $74.13 | $97.72 | $158.49 |
Wellpoint Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
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 $34.67 Median $41.69 Typical High $53.70 | Professional | 52 · Reduced service | $34.67 | $41.69 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.98 Typical High $21.88 | Professional | 53 · Discontinued | $14.13 | $16.98 | $21.88 |
Moda Health Setting Facility Modifier GN · Speech therapy plan Typical Low $158.49 Median $331.13 Typical High $524.81 | Facility | GN · Speech therapy plan | $158.49 | $331.13 | $524.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $41.69 Typical High $53.70 | Professional | 52 · Reduced service | $34.67 | $41.69 | $53.70 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.98 Typical High $21.88 | Professional | 53 · Discontinued | $14.13 | $16.98 | $21.88 |
Where Texas 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.
Texas· 49th of 51
$77.62
AK $245UT $64.57
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.