How much rates vary
Facilitymedian $4,169 · 10th to 90th $2,818 to $5,888Professionalmedian $2,692 · 10th to 90th $2,399 to $3,388
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 Professional Modifier None Typical Low $2,398.83 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,398.83 | $2,570.40 | $2,570.40 |
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 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | RR · Rental | $1,445.44 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $5,370.32 Typical High $6,456.54 | Facility | None | $4,168.69 | $5,370.32 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,884.03 | Professional | None | $2,691.53 | $2,691.53 | $2,884.03 |
Anthem BCBS Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $3,981.07 Median $4,677.35 Typical High $6,309.57 | Professional | KM · Facial prosthesis, new mold | $3,981.07 | $4,677.35 | $6,309.57 |
Anthem BCBS Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,698.24 Median $1,995.26 Typical High $2,691.53 | Professional | KN · Facial prosthesis, prior mold | $1,698.24 | $1,995.26 | $2,691.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | RR · Rental | $269.15 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,951.21 | Facility | None | $2,818.38 | $2,818.38 | $2,951.21 |
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 |
ConnectiCare Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
ConnectiCare Setting Professional Modifier None Typical Low $3,467.37 Median $3,715.35 Typical High $5,888.44 | Professional | None | $3,467.37 | $3,715.35 | $5,888.44 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,630.27 Typical High $3,388.44 | Professional | None | $1,995.26 | $2,630.27 | $3,388.44 |
United Setting Professional Modifier RR · Rental Typical Low $812.83 Median $1,047.13 Typical High $1,348.96 | Professional | RR · Rental | $812.83 | $1,047.13 | $1,348.96 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,905.46 Median $2,511.89 Typical High $3,235.94 | Professional | UE · Used equipment | $1,905.46 | $2,511.89 | $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 $363.08 Median $389.05 Typical High $389.05 | Professional | 55 · Aftercare only | $363.08 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $239.88 Median $257.04 Typical High $257.04 | Professional | 56 · Pre-op care only | $239.88 | $257.04 | $257.04 |
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | MS · Maintenance fee | $1,445.44 | $1,445.44 | $1,445.44 |
Where Connecticut 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.
Connecticut· 37th of 51
$2,692
HI $5,370CO $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.