How much rates vary
Facilitymedian $3,802 · 10th to 90th $3,631 to $5,248Professionalmedian $2,455 · 10th to 90th $2,138 to $3,090
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 Professional Modifier None Typical Low $2,137.96 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,137.96 | $2,344.23 | $2,344.23 |
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 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | RR · Rental | $1,318.26 | $1,318.26 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $4,897.79 Typical High $5,888.44 | Facility | None | $3,801.89 | $4,897.79 | $5,888.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,691.53 | Professional | None | $2,454.71 | $2,454.71 | $2,691.53 |
Anthem BCBS Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $3,630.78 Median $4,265.80 Typical High $5,754.40 | Professional | KM · Facial prosthesis, new mold | $3,630.78 | $4,265.80 | $5,754.40 |
Anthem BCBS Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,513.56 Median $1,778.28 Typical High $2,398.83 | Professional | KN · Facial prosthesis, prior mold | $1,513.56 | $1,778.28 | $2,398.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | RR · Rental | $245.47 | $245.47 | $245.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | UE · Used equipment | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,801.89 | Facility | None | $3,630.78 | $3,630.78 | $3,801.89 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,090.30 | $3,630.78 |
ConnectiCare Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
ConnectiCare Setting Professional Modifier None Typical Low $3,090.30 Median $3,311.31 Typical High $5,623.41 | Professional | None | $3,090.30 | $3,311.31 | $5,623.41 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $3,090.30 | Professional | None | $1,819.70 | $2,398.83 | $3,090.30 |
United Setting Professional Modifier RR · Rental Typical Low $724.44 Median $954.99 Typical High $1,230.27 | Professional | RR · Rental | $724.44 | $954.99 | $1,230.27 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,737.80 Median $2,290.87 Typical High $2,951.21 | Professional | UE · Used equipment | $1,737.80 | $2,290.87 | $2,951.21 |
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 $323.59 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $323.59 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $213.80 Median $234.42 Typical High $234.42 | Professional | 56 · Pre-op care only | $213.80 | $234.42 | $234.42 |
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | MS · Maintenance fee | $1,318.26 | $1,318.26 | $1,318.26 |
Where Connecticut 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.
Connecticut· 47th of 51
$2,455
HI $4,898DC $2,399
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.