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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,905.46 Typical High $1,905.46 | Professional | None | $1,698.24 | $1,905.46 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $2,454.71 Typical High $19,054.61 | Facility | None | $1,905.46 | $2,454.71 | $19,054.61 |
Medica Setting Professional Modifier None Typical Low $1,513.56 Median $2,570.40 Typical High $21,379.62 | Professional | None | $1,513.56 | $2,570.40 | $21,379.62 |
Medica Setting Professional Modifier RR · Rental Typical Low $478.63 Median $724.44 Typical High $1,047.13 | Professional | RR · Rental | $478.63 | $724.44 | $1,047.13 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $1,148.15 Median $1,698.24 Typical High $2,454.71 | Professional | UE · Used equipment | $1,148.15 | $1,698.24 | $2,454.71 |
United Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,778.28 Typical High $2,570.40 | Professional | None | $1,202.26 | $1,778.28 | $2,570.40 |
United Setting Professional Modifier RR · Rental Typical Low $478.63 Median $707.95 Typical High $1,047.13 | Professional | RR · Rental | $478.63 | $707.95 | $1,047.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,148.15 Median $1,659.59 Typical High $2,454.71 | Professional | UE · Used equipment | $1,148.15 | $1,659.59 | $2,454.71 |
3 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 55 · Aftercare only Typical Low $251.19 Median $288.40 Typical High $288.40 | Professional | 55 · Aftercare only | $251.19 | $288.40 | $288.40 |
Aetna Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | KM · Facial prosthesis, new mold | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | KN · Facial prosthesis, prior mold | $467.74 | $467.74 | $467.74 |
Where Oklahoma sits
The same service costs 2.2 times more in Hawaii than in Washington, DC. 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.
Oklahoma· 40th of 51
$2,570
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.