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 $141.25 Median $162.18 Typical High $181.97 | Facility | None | $141.25 | $162.18 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $181.97 | Professional | None | $134.90 | $162.18 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $79.43 Median $457.09 Typical High $1,023.29 | Facility | None | $79.43 | $457.09 | $1,023.29 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $151.36 Median $173.78 Typical High $251.19 | Professional | None | $151.36 | $173.78 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $151.36 Typical High $263.03 | Professional | None | $112.20 | $151.36 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $107.15 Median $141.25 Typical High $186.21 | Professional | None | $107.15 | $141.25 | $186.21 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $234.42 | Professional | None | $67.61 | $93.33 | $234.42 |
Pacific Source Setting Facility Modifier None Typical Low $147.91 Median $251.19 Typical High $257.04 | Facility | None | $147.91 | $251.19 | $257.04 |
Premera BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Premera BCBS Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Regence BlueShield Setting Facility Modifier None Typical Low $354.81 Median $467.74 Typical High $891.25 | Facility | None | $354.81 | $467.74 | $891.25 |
Regence BlueShield Setting Professional Modifier None Typical Low $151.36 Median $173.78 Typical High $234.42 | Professional | None | $151.36 | $173.78 | $234.42 |
United Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $776.25 | Facility | None | $380.19 | $501.19 | $776.25 |
United Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $177.83 | Professional | None | $131.83 | $131.83 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $151.36 | Professional | None | $107.15 | $125.89 | $151.36 |
4 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 $81.28 Median $81.28 Typical High $83.18 | Professional | 52 · Reduced service | $81.28 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | 53 · Discontinued | $32.36 | $32.36 | $33.11 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | GN · Speech therapy plan | $125.89 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | GO · Occupational therapy plan | $125.89 | $125.89 | $125.89 |
Where Washington 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.
Washington· 6th of 51
$166
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.