How much rates vary
Facilitymedian $372 · 10th to 90th $98 to $832Professionalmedian $89 · 10th to 90th $71 to $339
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 $102.33 Median $114.82 Typical High $117.49 | Facility | None | $102.33 | $114.82 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $102.33 Typical High $117.49 | Professional | None | $97.72 | $102.33 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $89.13 Typical High $97.72 | Facility | None | $83.18 | $89.13 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $165.96 | Professional | None | $79.43 | $85.11 | $165.96 |
Blue Shield Setting Facility Modifier None Typical Low $131.83 Median $501.19 Typical High $891.25 | Facility | None | $131.83 | $501.19 | $891.25 |
Blue Shield Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $107.15 | Professional | None | $54.95 | $79.43 | $107.15 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $131.83 | Professional | None | $77.62 | $107.15 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $169.82 | Professional | None | $77.62 | $107.15 | $169.82 |
Contra Costa Health Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $141.25 | Professional | None | $51.29 | $77.62 | $141.25 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $186.21 | Professional | None | $79.43 | $104.71 | $186.21 |
Lucent Health Setting Professional Modifier None Typical Low $616.60 Median $812.83 Typical High $812.83 | Professional | None | $616.60 | $812.83 | $812.83 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $138.04 | Professional | None | $56.23 | $70.79 | $138.04 |
Optum Setting Professional Modifier None Typical Low $30.90 Median $54.95 Typical High $70.79 | Professional | None | $30.90 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $102.33 Median $144.54 Typical High $181.97 | Facility | None | $102.33 | $144.54 | $181.97 |
Providence Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $169.82 | Professional | None | $77.62 | $107.15 | $169.82 |
Sutter Health Plus Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $169.82 | Professional | None | $69.18 | $91.20 | $169.82 |
3 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 $48.98 Median $51.29 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $51.29 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.89 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $20.89 | $23.44 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | GN · Speech therapy plan | $74.13 | $74.13 | $74.13 |
Where California sits
The same service costs 3.0 times more in Alaska than in Florida. 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.
California· 47th of 51
$91.20
AK $219FL $74.13
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.