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 Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Aetna Setting Professional Modifier None Typical Low $2,570.40 Median $4,897.79 Typical High $4,897.79 | Professional | None | $2,570.40 | $4,897.79 | $4,897.79 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None | $3,801.89 | $3,801.89 | $3,801.89 |
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 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $6,165.95 Typical High $7,244.36 | Facility | None | $5,128.61 | $6,165.95 | $7,244.36 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,290.87 Typical High $3,388.44 | Professional | None | $1,621.81 | $2,290.87 | $3,388.44 |
United Setting Professional Modifier RR · Rental Typical Low $660.69 Median $933.25 Typical High $1,348.96 | Professional | RR · Rental | $660.69 | $933.25 | $1,348.96 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $2,187.76 Typical High $3,235.94 | Professional | UE · Used equipment | $1,548.82 | $2,187.76 | $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 $380.19 Median $741.31 Typical High $741.31 | Professional | 55 · Aftercare only | $380.19 | $741.31 | $741.31 |
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 Mississippi 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.
Mississippi· 18th of 51
$3,467
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.