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 $60.26 Median $85.11 Typical High $93.33 | Facility | None | $60.26 | $85.11 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $104.71 | Professional | None | $60.26 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $42.66 Typical High $52.48 | Professional | 52 · Reduced service | $30.20 | $42.66 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $16.98 Typical High $20.89 | Professional | 53 · Discontinued | $12.02 | $16.98 | $20.89 |
AvMed Setting Facility Modifier None Typical Low $79.43 Median $100.00 Typical High $102.33 | Facility | None | $79.43 | $100.00 | $102.33 |
AvMed Setting Professional Modifier None Typical Low $77.62 Median $95.50 Typical High $104.71 | Professional | None | $77.62 | $95.50 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $162.18 | Facility | None | $54.95 | $54.95 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $134.90 | Professional | None | $67.61 | $70.79 | $134.90 |
Florida Blue Setting Facility Modifier None Typical Low $64.57 Median $177.83 Typical High $186.21 | Facility | None | $64.57 | $177.83 | $186.21 |
Florida Blue Setting Professional Modifier None Typical Low $43.65 Median $61.66 Typical High $69.18 | Professional | None | $43.65 | $61.66 | $69.18 |
Molina Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $239.88 | Professional | None | $81.28 | $112.20 | $239.88 |
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 $34.67 Median $54.95 Typical High $93.33 | Professional | None | $34.67 | $54.95 | $93.33 |
Wellpoint Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $95.50 | Professional | None | $75.86 | $75.86 | $95.50 |
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 $74.13 Median $74.13 Typical High $74.13 | Professional | GN · Speech therapy plan | $74.13 | $74.13 | $74.13 |
Where Florida 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.
Florida· 51st of 51
$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.