How much rates vary
Facilitymedian $3,631 · 10th to 90th $3,631 to $3,802Professionalmedian $3,090 · 10th to 90th $1,905 to $24,547
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $2,398.83 | Professional | None | $1,905.46 | $1,949.84 | $2,398.83 |
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 Tennessee Setting Professional Modifier None Typical Low $2,630.27 Median $3,388.44 Typical High $3,388.44 | Professional | None | $2,630.27 | $3,388.44 | $3,388.44 |
BCBS Tennessee Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $2,511.89 Median $3,235.94 Typical High $3,235.94 | Professional | KM · Facial prosthesis, new mold | $2,511.89 | $3,235.94 | $3,235.94 |
BCBS Tennessee Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,071.52 Median $1,348.96 Typical High $1,348.96 | Professional | KN · Facial prosthesis, prior mold | $1,071.52 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,801.89 | Facility | None | $3,630.78 | $3,630.78 | $3,801.89 |
Cigna Setting Facility Modifier KM · Facial prosthesis, new mold Typical Low $3,388.44 Median $3,388.44 Typical High $3,630.78 | Facility | KM · Facial prosthesis, new mold | $3,388.44 | $3,388.44 | $3,630.78 |
Cigna Setting Facility Modifier KN · Facial prosthesis, prior mold Typical Low $1,445.44 Median $1,445.44 Typical High $1,513.56 | Facility | KN · Facial prosthesis, prior mold | $1,445.44 | $1,445.44 | $1,513.56 |
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 |
Cigna Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | KM · Facial prosthesis, new mold | $3,388.44 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | KN · Facial prosthesis, prior mold | $1,445.44 | $1,445.44 | $1,445.44 |
Lucent Health Setting Professional Modifier None Typical Low $24,547.09 Median $38,018.94 Typical High $38,018.94 | Professional | None | $24,547.09 | $38,018.94 | $38,018.94 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,187.76 Typical High $3,019.95 | Professional | None | $1,479.11 | $2,187.76 | $3,019.95 |
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 $281.84 Median $288.40 Typical High $363.08 | Professional | 55 · Aftercare only | $281.84 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $186.21 Median $213.80 Typical High $446.68 | Professional | 56 · Pre-op care only | $186.21 | $213.80 | $446.68 |
United Setting Professional Modifier RR · Rental Typical Low $588.84 Median $851.14 Typical High $1,230.27 | Professional | RR · Rental | $588.84 | $851.14 | $1,230.27 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $2,041.74 Typical High $2,884.03 | Professional | UE · Used equipment | $1,412.54 | $2,041.74 | $2,884.03 |
Where Tennessee 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.
Tennessee· 22nd of 51
$3,090
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.