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 $14.79 Median $30.20 Typical High $34.67 | Facility | None | $14.79 | $30.20 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $15.85 Typical High $15.85 | Professional | None | $14.79 | $15.85 | $15.85 |
AmeriHealth Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $32.36 | Professional | None | $22.39 | $23.44 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $15.49 Typical High $39.81 | Professional | None | $13.49 | $15.49 | $39.81 |
Emblem Health Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $81.28 | Professional | None | $31.62 | $35.48 | $81.28 |
Geisinger Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Geisinger Setting Professional Modifier None Typical Low $16.98 Median $23.99 Typical High $45.71 | Professional | None | $16.98 | $23.99 | $45.71 |
Highmark BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $81.28 | Facility | None | $69.18 | $69.18 | $81.28 |
Independence Blue Cross Setting Facility Modifier None Typical Low $177.83 Median $218.78 Typical High $281.84 | Facility | None | $177.83 | $218.78 | $281.84 |
Independence Blue Cross Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | None | $17.38 | $17.38 | $17.38 |
Martin's Point Setting Facility Modifier None Typical Low $14.79 Median $32.36 Typical High $35.48 | Facility | None | $14.79 | $32.36 | $35.48 |
Martin's Point Setting Professional Modifier None Typical Low $14.79 Median $15.85 Typical High $15.85 | Professional | None | $14.79 | $15.85 | $15.85 |
Oscar Health Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
UPMC Health Plan Setting Facility Modifier None Typical Low $21.88 Median $26.30 Typical High $40.74 | Facility | None | $21.88 | $26.30 | $40.74 |
UPMC Health Plan Setting Professional Modifier None Typical Low $21.88 Median $26.30 Typical High $26.30 | Professional | None | $21.88 | $26.30 | $26.30 |
United Setting Facility Modifier None Typical Low $19.50 Median $21.88 Typical High $21.88 | Facility | None | $19.50 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $33.88 | Professional | None | $19.05 | $22.91 | $33.88 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Facility Modifier GN · Speech therapy plan Typical Low $51.29 Median $77.62 Typical High $128.82 | Facility | GN · Speech therapy plan | $51.29 | $77.62 | $128.82 |
Where Pennsylvania sits
The same service costs 3.3 times more in Alaska than in Delaware. 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.
Pennsylvania· 20th of 51
$22.39
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.