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 Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
BCBS Arizona Setting Facility Modifier None Typical Low $1,258.93 Median $5,754.40 Typical High $8,709.64 | Facility | None | $1,258.93 | $5,754.40 | $8,709.64 |
BCBS Arizona Setting Professional Modifier None Typical Low $3,715.35 Median $4,265.80 Typical High $7,762.47 | Professional | None | $3,715.35 | $4,265.80 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,818.38 | Professional | None | $2,398.83 | $2,398.83 | $2,818.38 |
Medica Setting Facility Modifier None Typical Low $2,344.23 Median $5,128.61 Typical High $23,442.29 | Facility | None | $2,344.23 | $5,128.61 | $23,442.29 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $26,302.68 | Professional | None | $2,089.30 | $3,235.94 | $26,302.68 |
Medica Setting Professional Modifier RR · Rental Typical Low $831.76 Median $891.25 Typical High $1,348.96 | Professional | RR · Rental | $831.76 | $891.25 | $1,348.96 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $1,949.84 Median $2,137.96 Typical High $3,235.94 | Professional | UE · Used equipment | $1,949.84 | $2,137.96 | $3,235.94 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $3,388.44 | Professional | None | $2,041.74 | $2,238.72 | $3,388.44 |
United Setting Professional Modifier RR · Rental Typical Low $831.76 Median $891.25 Typical High $1,348.96 | Professional | RR · Rental | $831.76 | $891.25 | $1,348.96 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,949.84 Median $2,137.96 Typical High $3,235.94 | Professional | UE · Used equipment | $1,949.84 | $2,137.96 | $3,235.94 |
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 $346.74 Median $346.74 Typical High $346.74 | Professional | 55 · Aftercare only | $346.74 | $346.74 | $346.74 |
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 |
Where Arizona 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.
Arizona· 38th of 51
$2,692
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.