How much rates vary
Facilitymedian $4,786 · 10th to 90th $3,020 to $8,128Professionalmedian $4,266 · 10th to 90th $2,239 to $8,710
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 $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,019.95 | $3,235.94 | $3,235.94 |
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 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $3,801.89 Median $4,786.30 Typical High $5,128.61 | Facility | None | $3,801.89 | $4,786.30 | $5,128.61 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $4,265.80 Median $26,915.35 Typical High $41,686.94 | Professional | None | $4,265.80 | $26,915.35 | $41,686.94 |
Asuris Northwest Health Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $3,715.35 Median $4,073.80 Typical High $5,011.87 | Professional | KM · Facial prosthesis, new mold | $3,715.35 | $4,073.80 | $5,011.87 |
Asuris Northwest Health Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,584.89 Median $1,698.24 Typical High $2,137.96 | Professional | KN · Facial prosthesis, prior mold | $1,584.89 | $1,698.24 | $2,137.96 |
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 $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Kaiser Permanente Setting Facility Modifier None Typical Low $2,187.76 Median $5,128.61 Typical High $8,317.64 | Facility | None | $2,187.76 | $5,128.61 | $8,317.64 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,187.76 Median $5,128.61 Typical High $8,511.38 | Professional | None | $2,187.76 | $5,128.61 | $8,511.38 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $2,041.74 Typical High $5,011.87 | Professional | None | $60.26 | $2,041.74 | $5,011.87 |
Pacific Source Setting Facility Modifier None Typical Low $3,890.45 Median $4,786.30 Typical High $4,897.79 | Facility | None | $3,890.45 | $4,786.30 | $4,897.79 |
Premera BCBS Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $9,772.37 | Facility | None | $4,365.16 | $4,365.16 | $9,772.37 |
Premera BCBS Setting Facility Modifier KM · Facial prosthesis, new mold Typical Low $4,073.80 Median $4,073.80 Typical High $9,120.11 | Facility | KM · Facial prosthesis, new mold | $4,073.80 | $4,073.80 | $9,120.11 |
Premera BCBS Setting Facility Modifier KN · Facial prosthesis, prior mold Typical Low $1,737.80 Median $1,737.80 Typical High $3,890.45 | Facility | KN · Facial prosthesis, prior mold | $1,737.80 | $1,737.80 | $3,890.45 |
Premera BCBS Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,786.30 | Professional | None | $4,073.80 | $4,073.80 | $4,786.30 |
Premera BCBS Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $3,890.45 Median $3,890.45 Typical High $4,570.88 | Professional | KM · Facial prosthesis, new mold | $3,890.45 | $3,890.45 | $4,570.88 |
Premera BCBS Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,659.59 Median $1,659.59 Typical High $2,290.87 | Professional | KN · Facial prosthesis, prior mold | $1,659.59 | $1,659.59 | $2,290.87 |
Regence BlueShield 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 |
Regence BlueShield Setting Professional Modifier None Typical Low $4,073.80 Median $4,265.80 Typical High $5,248.07 | Professional | None | $4,073.80 | $4,265.80 | $5,248.07 |
Regence BlueShield Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $3,801.89 Median $4,073.80 Typical High $5,011.87 | Professional | KM · Facial prosthesis, new mold | $3,801.89 | $4,073.80 | $5,011.87 |
Regence BlueShield Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,621.81 Median $1,698.24 Typical High $2,137.96 | Professional | KN · Facial prosthesis, prior mold | $1,621.81 | $1,698.24 | $2,137.96 |
United Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $4,365.16 | Professional | None | $2,238.72 | $2,238.72 | $4,365.16 |
Wellpoint Setting Professional Modifier None Typical Low $2,691.53 Median $3,548.13 Typical High $7,585.78 | Professional | None | $2,691.53 | $3,548.13 | $7,585.78 |
5 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 $446.68 Median $478.63 Typical High $478.63 | Professional | 55 · Aftercare only | $446.68 | $478.63 | $478.63 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | NR · New when rented | $4,365.16 | $4,365.16 | $4,365.16 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $4,073.80 Median $4,073.80 Typical High $4,786.30 | Professional | NR · New when rented | $4,073.80 | $4,073.80 | $4,786.30 |
United Setting Professional Modifier RR · Rental Typical Low $891.25 Median $891.25 Typical High $1,737.80 | Professional | RR · Rental | $891.25 | $891.25 | $1,737.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $2,137.96 Median $2,137.96 Typical High $4,168.69 | Professional | UE · Used equipment | $2,137.96 | $2,137.96 | $4,168.69 |
Where Washington 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.
Washington· 8th of 51
$4,365
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.