How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,175 to $3,802Professionalmedian $2,754 · 10th to 90th $1,175 to $3,548
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,348.96 | Professional | None | $1,174.90 | $1,174.90 | $1,348.96 |
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 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | RR · Rental | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,467.37 | Facility | None | $3,235.94 | $3,235.94 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,235.94 | Professional | None | $2,754.23 | $2,754.23 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $1,348.96 Median $2,818.38 Typical High $3,467.37 | Professional | None | $1,348.96 | $2,818.38 | $3,467.37 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,630.78 Median $3,801.89 Typical High $5,754.40 | Facility | None | $3,630.78 | $3,801.89 | $5,754.40 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,818.38 | Professional | None | $2,754.23 | $2,754.23 | $2,818.38 |
Regence BlueShield Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $2,570.40 Median $2,570.40 Typical High $2,691.53 | Professional | KM · Facial prosthesis, new mold | $2,570.40 | $2,570.40 | $2,691.53 |
Regence BlueShield Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,096.48 Median $1,096.48 Typical High $1,148.15 | Professional | KN · Facial prosthesis, prior mold | $1,096.48 | $1,096.48 | $1,148.15 |
Select Health Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Select Health Setting Professional Modifier None Typical Low $1,949.84 Median $3,890.45 Typical High $4,073.80 | Professional | None | $1,949.84 | $3,890.45 | $4,073.80 |
Select Health Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,862.09 Median $3,715.35 Typical High $3,890.45 | Professional | KM · Facial prosthesis, new mold | $1,862.09 | $3,715.35 | $3,890.45 |
Select Health Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $776.25 Median $1,548.82 Typical High $1,621.81 | Professional | KN · Facial prosthesis, prior mold | $776.25 | $1,548.82 | $1,621.81 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,398.83 Median $3,090.30 Typical High $4,897.79 | Professional | None | $2,398.83 | $3,090.30 | $4,897.79 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,819.70 Typical High $3,090.30 | Professional | None | $1,412.54 | $1,819.70 | $3,090.30 |
United Setting Professional Modifier RR · Rental Typical Low $562.34 Median $724.44 Typical High $954.99 | Professional | RR · Rental | $562.34 | $724.44 | $954.99 |
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 $173.78 Median $173.78 Typical High $204.17 | Professional | 55 · Aftercare only | $173.78 | $173.78 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 56 · Pre-op care only | $117.49 | $117.49 | $117.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,348.96 Median $1,698.24 Typical High $2,290.87 | Professional | UE · Used equipment | $1,348.96 | $1,698.24 | $2,290.87 |
Where Utah 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.
Utah· 26th of 51
$2,754
HI $4,677DC $2,138
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.