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 $1,513.56 Median $1,513.56 Typical High $3,890.45 | Facility | None | $1,513.56 | $1,513.56 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,890.45 | Professional | None | $1,513.56 | $1,513.56 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,786.30 Median $4,897.79 Typical High $6,760.83 | Facility | None | $4,786.30 | $4,897.79 | $6,760.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,454.71 | $2,454.71 | $2,454.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | RR · Rental | $2,454.71 | $2,454.71 | $2,454.71 |
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 $3,890.45 | Facility | None | $3,630.78 | $3,630.78 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $3,630.78 | Professional | None | $1,995.26 | $3,090.30 | $3,630.78 |
Hometown Health Setting Professional Modifier None Typical Low $2,754.23 Median $4,265.80 Typical High $8,128.31 | Professional | None | $2,754.23 | $4,265.80 | $8,128.31 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,265.80 | $4,786.30 | $4,786.30 |
Select Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,265.80 Typical High $4,786.30 | Professional | None | $3,019.95 | $4,265.80 | $4,786.30 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,884.03 Typical High $4,786.30 | Professional | None | $1,862.09 | $2,884.03 | $4,786.30 |
United Setting Professional Modifier RR · Rental Typical Low $630.96 Median $812.83 Typical High $1,148.15 | Professional | RR · Rental | $630.96 | $812.83 | $1,148.15 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,513.56 Median $1,905.46 Typical High $2,754.23 | Professional | UE · Used equipment | $1,513.56 | $1,905.46 | $2,754.23 |
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 $229.09 Median $229.09 Typical High $588.84 | Professional | 55 · Aftercare only | $229.09 | $229.09 | $588.84 |
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 Nevada 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.
Nevada· 26th 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.