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 $2,398.83 Median $2,398.83 Typical High $3,548.13 | Facility | None | $2,398.83 | $2,398.83 | $3,548.13 |
Aetna Setting Professional Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $3,630.78 | Professional | None | $2,398.83 | $2,511.89 | $3,630.78 |
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 |
BCBS Louisiana Setting Facility Modifier None Typical Low $3,801.89 Median $6,606.93 Typical High $9,332.54 | Facility | None | $3,801.89 | $6,606.93 | $9,332.54 |
BCBS Louisiana Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
BCBS Louisiana Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | KM · Facial prosthesis, new mold | $3,019.95 | $3,019.95 | $3,019.95 |
BCBS Louisiana Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | KN · Facial prosthesis, prior mold | $1,258.93 | $1,258.93 | $1,258.93 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
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 |
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 Typical Low $1,348.96 Median $2,089.30 Typical High $3,019.95 | Professional | None | $1,348.96 | $2,089.30 | $3,019.95 |
United Setting Professional Modifier RR · Rental Typical Low $537.03 Median $831.76 Typical High $1,230.27 | Professional | RR · Rental | $537.03 | $831.76 | $1,230.27 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,995.26 Typical High $2,884.03 | Professional | UE · Used equipment | $1,288.25 | $1,995.26 | $2,884.03 |
2 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 $354.81 Median $380.19 Typical High $549.54 | Professional | 55 · Aftercare only | $354.81 | $380.19 | $549.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $229.09 Median $363.08 Typical High $446.68 | Professional | 56 · Pre-op care only | $229.09 | $363.08 | $446.68 |
Where Louisiana 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.
Louisiana· 21st of 51
$3,090
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.