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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
BCBS Texas Setting Facility Modifier None Typical Low $23.44 Median $33.11 Typical High $331.13 | Facility | None | $23.44 | $33.11 | $331.13 |
BCBS Texas Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Baylor Scott & White Setting Facility Modifier None Typical Low $79.43 Median $85.11 Typical High $120.23 | Facility | None | $79.43 | $85.11 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $125.89 Typical High $151.36 | Facility | None | $120.23 | $125.89 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $125.89 | Professional | None | $89.13 | $125.89 | $125.89 |
Moda Health Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $34.67 | Facility | None | $7.94 | $7.94 | $34.67 |
Moda Health Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Providence Setting Facility Modifier None Typical Low $7.94 Median $24.55 Typical High $125.89 | Facility | None | $7.94 | $24.55 | $125.89 |
Providence Setting Professional Modifier None Typical Low $7.94 Median $125.89 Typical High $125.89 | Professional | None | $7.94 | $125.89 | $125.89 |
Wellpoint Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
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 $95.50 Median $95.50 Typical High $95.50 | Professional | GN · Speech therapy plan | $95.50 | $95.50 | $95.50 |
Where Texas sits
The same service costs 6025.6 times more in Oklahoma than in Louisiana. 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.
Texas· 14th of 50
$30.20
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.