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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $3,090.30 Typical High $3,162.28 | Professional | None | $2,187.76 | $3,090.30 | $3,162.28 |
BCBS Kansas Setting Facility Modifier None Typical Low $3,235.94 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,235.94 | $3,388.44 | $3,388.44 |
BCBS Kansas Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None | $3,311.31 | $3,311.31 | $3,311.31 |
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 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 |
Medica Setting Facility Modifier None Typical Low $2,187.76 Median $3,467.37 Typical High $21,379.62 | Facility | None | $2,187.76 | $3,467.37 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $23,988.33 | Professional | None | $1,778.28 | $2,818.38 | $23,988.33 |
Medica Setting Professional Modifier RR · Rental Typical Low $562.34 Median $831.76 Typical High $1,230.27 | Professional | RR · Rental | $562.34 | $831.76 | $1,230.27 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,995.26 Typical High $2,951.21 | Professional | UE · Used equipment | $1,318.26 | $1,995.26 | $2,951.21 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,495.41 | Facility | None | $4,677.35 | $4,677.35 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,089.30 Typical High $3,019.95 | Professional | None | $1,380.38 | $2,089.30 | $3,019.95 |
United Setting Professional Modifier RR · Rental Typical Low $562.34 Median $831.76 Typical High $1,230.27 | Professional | RR · Rental | $562.34 | $831.76 | $1,230.27 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,995.26 Typical High $2,884.03 | Professional | UE · Used equipment | $1,318.26 | $1,995.26 | $2,884.03 |
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 $467.74 Typical High $467.74 | Professional | 55 · Aftercare only | $323.59 | $467.74 | $467.74 |
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 |
Where Kansas 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.
Kansas· 18th of 51
$3,311
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.