How much rates vary
Facilitymedian $2,818 · 10th to 90th $1,445 to $4,786Professionalmedian $2,951 · 10th to 90th $1,445 to $4,365
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 $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,698.24 | Professional | None | $1,445.44 | $1,445.44 | $1,698.24 |
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 |
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 $2,398.83 Median $2,398.83 Typical High $2,818.38 | Professional | None | $2,398.83 | $2,398.83 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $1,698.24 Median $3,467.37 Typical High $4,365.16 | Professional | None | $1,698.24 | $3,467.37 | $4,365.16 |
Regence BlueShield Setting Facility Modifier None Typical Low $4,466.84 Median $4,786.30 Typical High $7,244.36 | Facility | None | $4,466.84 | $4,786.30 | $7,244.36 |
Regence BlueShield Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,548.13 | Professional | None | $3,388.44 | $3,388.44 | $3,548.13 |
Regence BlueShield Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $3,235.94 Median $3,235.94 Typical High $3,388.44 | Professional | KM · Facial prosthesis, new mold | $3,235.94 | $3,235.94 | $3,388.44 |
Regence BlueShield Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,348.96 Median $1,348.96 Typical High $1,412.54 | Professional | KN · Facial prosthesis, prior mold | $1,348.96 | $1,348.96 | $1,412.54 |
Select Health Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Select Health Setting Professional Modifier None Typical Low $2,398.83 Median $4,786.30 Typical High $5,011.87 | Professional | None | $2,398.83 | $4,786.30 | $5,011.87 |
Select Health Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $2,290.87 Median $4,570.88 Typical High $4,786.30 | Professional | KM · Facial prosthesis, new mold | $2,290.87 | $4,570.88 | $4,786.30 |
Select Health Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $954.99 Median $1,949.84 Typical High $2,041.74 | Professional | KN · Facial prosthesis, prior mold | $954.99 | $1,949.84 | $2,041.74 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $2,951.21 Median $3,890.45 Typical High $6,025.60 | Professional | None | $2,951.21 | $3,890.45 | $6,025.60 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,238.72 Typical High $3,801.89 | Professional | None | $1,737.80 | $2,238.72 | $3,801.89 |
United Setting Professional Modifier RR · Rental Typical Low $707.95 Median $891.25 Typical High $1,174.90 | Professional | RR · Rental | $707.95 | $891.25 | $1,174.90 |
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 $218.78 Median $218.78 Typical High $251.19 | Professional | 55 · Aftercare only | $218.78 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 56 · Pre-op care only | $144.54 | $144.54 | $144.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,659.59 Median $2,137.96 Typical High $2,818.38 | Professional | UE · Used equipment | $1,659.59 | $2,137.96 | $2,818.38 |
Where Utah 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.
Utah· 24th of 51
$2,951
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.