How much rates vary
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,454.71 Typical High $2,454.71 | Professional | None (both parts) | $2,187.76 | $2,454.71 | $2,454.71 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $3,801.89 Median $4,168.69 Typical High $5,011.87 | Professional | None (both parts) | $3,801.89 | $4,168.69 | $5,011.87 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $3,630.78 Median $3,981.07 Typical High $4,786.30 | Professional | TC · Technical part | $3,630.78 | $3,981.07 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $3,090.30 Typical High $3,630.78 | Professional | None (both parts) | $1,445.44 | $3,090.30 | $3,630.78 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $5,495.41 Typical High $5,495.41 | Facility | None | $4,677.35 | $5,495.41 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,187.76 Typical High $3,162.28 | Professional | None (both parts) | $1,698.24 | $2,187.76 | $3,162.28 |
5 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 $323.59 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $323.59 | $363.08 | $363.08 |
Aetna Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | KM · Facial prosthesis, new mold | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | KN · Facial prosthesis, prior mold | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier RR · Rental Typical Low $676.08 Median $870.96 Typical High $1,258.93 | Professional | RR · Rental | $676.08 | $870.96 | $1,258.93 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,584.89 Median $2,089.30 Typical High $2,951.21 | Professional | UE · Used equipment | $1,584.89 | $2,089.30 | $2,951.21 |
Where Arkansas sits
The same service costs 2.0 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.
Arkansas· 12th of 51
$3,802
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.