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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,691.53 Typical High $2,691.53 | Professional | None (both parts) | $2,398.83 | $2,691.53 | $2,691.53 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,677.35 Typical High $5,495.41 | Professional | None (both parts) | $4,168.69 | $4,677.35 | $5,495.41 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $3,981.07 Median $4,365.16 Typical High $5,248.07 | Professional | TC · Technical part | $3,981.07 | $4,365.16 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,981.07 | Facility | None | $2,818.38 | $2,818.38 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $2,398.83 Typical High $2,818.38 | Professional | None (both parts) | $1,584.89 | $2,398.83 | $2,818.38 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $6,165.95 Typical High $6,165.95 | Facility | None | $5,128.61 | $6,165.95 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,398.83 Typical High $3,467.37 | Professional | None (both parts) | $1,862.09 | $2,398.83 | $3,467.37 |
5 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 |
Aetna Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | KM · Facial prosthesis, new mold | $1,380.38 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | KN · Facial prosthesis, prior mold | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier RR · Rental Typical Low $741.31 Median $977.24 Typical High $1,380.38 | Professional | RR · Rental | $741.31 | $977.24 | $1,380.38 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,778.28 Median $2,290.87 Typical High $3,311.31 | Professional | UE · Used equipment | $1,778.28 | $2,290.87 | $3,311.31 |
Where Arkansas sits
The same service costs 2.2 times more in Hawaii than in Colorado. 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.
Arkansas· 12th of 51
$4,169
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.