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 $1,698.24 Median $1,698.24 Typical High $4,265.80 | Facility | None | $1,698.24 | $1,698.24 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $4,265.80 | Professional | None | $1,698.24 | $1,698.24 | $4,265.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $5,495.41 Typical High $7,413.10 | Facility | None | $5,248.07 | $5,495.41 | $7,413.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,691.53 | $2,691.53 | $2,691.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | RR · Rental | $2,691.53 | $2,691.53 | $2,691.53 |
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 $3,019.95 | Facility | None | $2,818.38 | $2,818.38 | $3,019.95 |
Cigna Setting Professional Modifier None Typical Low $2,238.72 Median $2,398.83 Typical High $2,818.38 | Professional | None | $2,238.72 | $2,398.83 | $2,818.38 |
Hometown Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,786.30 Typical High $8,912.51 | Professional | None | $3,019.95 | $4,786.30 | $8,912.51 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $5,248.07 Typical High $5,248.07 | Facility | None | $4,265.80 | $5,248.07 | $5,248.07 |
Select Health Setting Professional Modifier None Typical Low $3,388.44 Median $4,786.30 Typical High $5,248.07 | Professional | None | $3,388.44 | $4,786.30 | $5,248.07 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $3,235.94 Typical High $5,248.07 | Professional | None | $2,089.30 | $3,235.94 | $5,248.07 |
United Setting Professional Modifier RR · Rental Typical Low $707.95 Median $891.25 Typical High $1,288.25 | Professional | RR · Rental | $707.95 | $891.25 | $1,288.25 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,659.59 Median $2,137.96 Typical High $3,019.95 | Professional | UE · Used equipment | $1,659.59 | $2,137.96 | $3,019.95 |
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 $251.19 Median $251.19 Typical High $645.65 | Professional | 55 · Aftercare only | $251.19 | $251.19 | $645.65 |
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 Nevada 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.
Nevada· 23rd of 51
$2,951
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.