How much rates vary
Facilitymedian $4,266 · 10th to 90th $3,388 to $4,677Professionalmedian $3,236 · 10th to 90th $2,042 to $5,012
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 Professional Modifier None Typical Low $2,454.71 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,454.71 | $2,691.53 | $2,691.53 |
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 |
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 $3,467.37 | Professional | None | $3,090.30 | $3,090.30 | $3,467.37 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,388.44 Median $9,332.54 Typical High $11,748.98 | Professional | None | $3,388.44 | $9,332.54 | $11,748.98 |
Moda Health Setting Facility Modifier None Typical Low $1,348.96 Median $3,311.31 Typical High $4,570.88 | Facility | None | $1,348.96 | $3,311.31 | $4,570.88 |
Moda Health Setting Professional Modifier None Typical Low $2,691.53 Median $4,073.80 Typical High $4,570.88 | Professional | None | $2,691.53 | $4,073.80 | $4,570.88 |
Moda Health Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,230.27 Median $3,981.07 Typical High $4,365.16 | Professional | KM · Facial prosthesis, new mold | $1,230.27 | $3,981.07 | $4,365.16 |
Moda Health Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $524.81 Median $1,659.59 Typical High $1,819.70 | Professional | KN · Facial prosthesis, prior mold | $524.81 | $1,659.59 | $1,819.70 |
Pacific Source Setting Facility Modifier None Typical Low $3,548.13 Median $4,265.80 Typical High $4,466.84 | Facility | None | $3,548.13 | $4,265.80 | $4,466.84 |
Pacific Source Setting Professional Modifier None Typical Low $4,265.80 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,265.80 | $4,466.84 | $4,466.84 |
Providence Setting Facility Modifier None Typical Low $2,754.23 Median $3,630.78 Typical High $4,570.88 | Facility | None | $2,754.23 | $3,630.78 | $4,570.88 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $3,090.30 Typical High $4,365.16 | Professional | None | $79.43 | $3,090.30 | $4,365.16 |
Providence Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $3,388.44 Median $4,073.80 Typical High $4,168.69 | Professional | KM · Facial prosthesis, new mold | $3,388.44 | $4,073.80 | $4,168.69 |
Providence Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,445.44 Median $1,698.24 Typical High $1,737.80 | Professional | KN · Facial prosthesis, prior mold | $1,445.44 | $1,698.24 | $1,737.80 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,630.78 Median $7,079.46 Typical High $17,378.01 | Facility | None | $3,630.78 | $7,079.46 | $17,378.01 |
Regence BlueShield Setting Facility Modifier KM · Facial prosthesis, new mold Typical Low $3,388.44 Median $6,760.83 Typical High $16,595.87 | Facility | KM · Facial prosthesis, new mold | $3,388.44 | $6,760.83 | $16,595.87 |
Regence BlueShield Setting Facility Modifier KN · Facial prosthesis, prior mold Typical Low $1,445.44 Median $2,818.38 Typical High $6,918.31 | Facility | KN · Facial prosthesis, prior mold | $1,445.44 | $2,818.38 | $6,918.31 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,570.88 Median $5,011.87 Typical High $5,011.87 | Professional | None | $4,570.88 | $5,011.87 | $5,011.87 |
Regence BlueShield Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $4,365.16 Median $4,786.30 Typical High $4,786.30 | Professional | KM · Facial prosthesis, new mold | $4,365.16 | $4,786.30 | $4,786.30 |
Regence BlueShield Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,862.09 Median $1,995.26 Typical High $1,995.26 | Professional | KN · Facial prosthesis, prior mold | $1,862.09 | $1,995.26 | $1,995.26 |
United Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $8,912.51 | Facility | None | $6,606.93 | $6,606.93 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,041.74 Typical High $3,981.07 | Professional | None | $1,862.09 | $2,041.74 | $3,981.07 |
4 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 $363.08 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $363.08 | $407.38 | $407.38 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 55 · Aftercare only | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier RR · Rental Typical Low $741.31 Median $812.83 Typical High $1,584.89 | Professional | RR · Rental | $741.31 | $812.83 | $1,584.89 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,778.28 Median $1,905.46 Typical High $3,801.89 | Professional | UE · Used equipment | $1,778.28 | $1,905.46 | $3,801.89 |
Where Oregon 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.
Oregon· 14th of 51
$3,631
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.