How much rates vary
Facilitymedian $3,631 · 10th to 90th $1,318 to $4,266Professionalmedian $3,020 · 10th to 90th $1,318 to $3,981
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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,513.56 | Professional | None | $1,318.26 | $1,318.26 | $1,513.56 |
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 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | RR · Rental | $1,318.26 | $1,318.26 | $1,318.26 |
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 $3,090.30 Median $3,090.30 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,090.30 | $3,630.78 |
Molina Setting Professional Modifier None Typical Low $1,513.56 Median $3,090.30 Typical High $3,890.45 | Professional | None | $1,513.56 | $3,090.30 | $3,890.45 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,073.80 Median $4,265.80 Typical High $6,456.54 | Facility | None | $4,073.80 | $4,265.80 | $6,456.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,162.28 | Professional | None | $3,019.95 | $3,019.95 | $3,162.28 |
Regence BlueShield Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $2,884.03 Median $2,884.03 Typical High $3,019.95 | Professional | KM · Facial prosthesis, new mold | $2,884.03 | $2,884.03 | $3,019.95 |
Regence BlueShield Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,230.27 Median $1,230.27 Typical High $1,288.25 | Professional | KN · Facial prosthesis, prior mold | $1,230.27 | $1,230.27 | $1,288.25 |
Select Health Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Select Health Setting Professional Modifier None Typical Low $2,187.76 Median $4,365.16 Typical High $4,570.88 | Professional | None | $2,187.76 | $4,365.16 | $4,570.88 |
Select Health Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $2,089.30 Median $4,168.69 Typical High $4,365.16 | Professional | KM · Facial prosthesis, new mold | $2,089.30 | $4,168.69 | $4,365.16 |
Select Health Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $870.96 Median $1,737.80 Typical High $1,819.70 | Professional | KN · Facial prosthesis, prior mold | $870.96 | $1,737.80 | $1,819.70 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,691.53 Median $3,467.37 Typical High $5,495.41 | Professional | None | $2,691.53 | $3,467.37 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,041.74 Typical High $3,467.37 | Professional | None | $1,584.89 | $2,041.74 | $3,467.37 |
United Setting Professional Modifier RR · Rental Typical Low $630.96 Median $812.83 Typical High $1,071.52 | Professional | RR · Rental | $630.96 | $812.83 | $1,071.52 |
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 $194.98 Median $194.98 Typical High $229.09 | Professional | 55 · Aftercare only | $194.98 | $194.98 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 56 · Pre-op care only | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,513.56 Median $1,905.46 Typical High $2,511.89 | Professional | UE · Used equipment | $1,513.56 | $1,905.46 | $2,511.89 |
Where Utah 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.
Utah· 35th of 51
$3,020
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.