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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,862.09 | $2,137.96 | $2,137.96 |
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 $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $2,137.96 Median $2,691.53 Typical High $21,379.62 | Facility | None | $2,137.96 | $2,691.53 | $21,379.62 |
Medica Setting Professional Modifier None Typical Low $1,698.24 Median $2,884.03 Typical High $23,988.33 | Professional | None | $1,698.24 | $2,884.03 | $23,988.33 |
Medica Setting Professional Modifier RR · Rental Typical Low $537.03 Median $812.83 Typical High $1,148.15 | Professional | RR · Rental | $537.03 | $812.83 | $1,148.15 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,905.46 Typical High $2,754.23 | Professional | UE · Used equipment | $1,288.25 | $1,905.46 | $2,754.23 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,995.26 Typical High $2,884.03 | Professional | None | $1,348.96 | $1,995.26 | $2,884.03 |
United Setting Professional Modifier RR · Rental Typical Low $537.03 Median $794.33 Typical High $1,148.15 | Professional | RR · Rental | $537.03 | $794.33 | $1,148.15 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,862.09 Typical High $2,754.23 | Professional | UE · Used equipment | $1,288.25 | $1,862.09 | $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 $281.84 Median $323.59 Typical High $323.59 | Professional | 55 · Aftercare only | $281.84 | $323.59 | $323.59 |
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 Oklahoma 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.
Oklahoma· 40th of 51
$2,884
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.