How much rates vary
Facilitymedian $158 · 10th to 90th $120 to $794Professionalmedian $102 · 10th to 90th $81 to $141
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 $91.20 Median $112.20 Typical High $134.90 | Facility | None | $91.20 | $112.20 | $134.90 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $54.95 Median $60.26 Typical High $63.10 | Facility | 52 · Reduced service | $54.95 | $60.26 | $63.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $25.12 | Facility | 53 · Discontinued | $22.39 | $23.99 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $120.23 | Professional | None | $83.18 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $60.26 Typical High $61.66 | Professional | 52 · Reduced service | $54.95 | $60.26 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $23.99 | $24.55 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $134.90 Typical High $162.18 | Professional | None | $104.71 | $134.90 | $162.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $123.03 Median $426.58 Typical High $831.76 | Facility | None | $123.03 | $426.58 | $831.76 |
BCBS Arizona Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $117.49 | Professional | None | $69.18 | $81.28 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $251.19 | Professional | None | $109.65 | $125.89 | $251.19 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $120.23 Typical High $173.78 | Facility | None | $112.20 | $120.23 | $173.78 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $794.33 Typical High $794.33 | Professional | None | $123.03 | $794.33 | $794.33 |
United Setting Professional Modifier None Typical Low $104.71 Median $128.82 Typical High $199.53 | Professional | None | $104.71 | $128.82 | $199.53 |
7 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 Facility Modifier AF · Specialist physician Typical Low $112.20 Median $120.23 Typical High $123.03 | Facility | AF · Specialist physician | $112.20 | $120.23 | $123.03 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $83.18 Median $91.20 Typical High $93.33 | Facility | HO · Master's level | $83.18 | $91.20 | $93.33 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $93.33 Median $102.33 Typical High $104.71 | Facility | TD · Registered nurse | $93.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $112.20 Median $120.23 Typical High $120.23 | Professional | AF · Specialist physician | $112.20 | $120.23 | $120.23 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $83.18 Median $91.20 Typical High $91.20 | Professional | HO · Master's level | $83.18 | $91.20 | $91.20 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | TD · Registered nurse | $93.33 | $102.33 | $102.33 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | GN · Speech therapy plan | $87.10 | $87.10 | $87.10 |
Where Arizona sits
The same service costs 2.4 times more in Alaska than in Ohio. 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.
Arizona· 50th of 51
$102
AK $245OH $102
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.