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 $69.18 Typical High $81.28 | Facility | None | $60.26 | $69.18 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $69.18 Typical High $81.28 | Professional | None | $60.26 | $69.18 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $40.74 | Facility | None | $33.88 | $33.88 | $40.74 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $120.23 | Professional | None | $70.79 | $81.28 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $69.18 Typical High $117.49 | Professional | None | $50.12 | $69.18 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $85.11 | Professional | None | $47.86 | $64.57 | $85.11 |
Molina Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $52.48 | Professional | None | $28.84 | $35.48 | $52.48 |
Pacific Source Setting Facility Modifier None Typical Low $66.07 Median $95.50 Typical High $117.49 | Facility | None | $66.07 | $95.50 | $117.49 |
Premera BCBS Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $83.18 | Facility | None | $79.43 | $79.43 | $83.18 |
Premera BCBS Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | None | $77.62 | $83.18 | $83.18 |
Regence BlueShield Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $112.20 | Professional | None | $70.79 | $81.28 | $112.20 |
United Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $165.96 | Professional | None | $69.18 | $87.10 | $165.96 |
Wellpoint Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $66.07 | Professional | None | $45.71 | $57.54 | $66.07 |
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 $33.88 Median $33.88 Typical High $37.15 | Professional | 52 · Reduced service | $33.88 | $33.88 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $14.79 | Professional | 53 · Discontinued | $13.49 | $13.49 | $14.79 |
Ambetter Setting Professional Modifier GN · Speech therapy plan Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | GN · Speech therapy plan | $57.54 | $57.54 | $57.54 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | GO · Occupational therapy plan | $57.54 | $57.54 | $57.54 |
Where Washington sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 8th 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.