How much rates vary
Facilitymedian $3,236 · 10th to 90th $1,820 to $12,023Professionalmedian $2,512 · 10th to 90th $1,549 to $6,918
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 $1,318.26 Median $1,318.26 Typical High $2,137.96 | Facility | None | $1,318.26 | $1,318.26 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $1,995.26 | Professional | None | $1,318.26 | $1,412.54 | $1,995.26 |
Aetna Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | KM · Facial prosthesis, new mold | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | KN · Facial prosthesis, prior mold | $371.54 | $371.54 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $11,220.18 Typical High $12,022.64 | Facility | None | $3,235.94 | $11,220.18 | $12,022.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,737.80 Median $2,630.27 Typical High $9,120.11 | Professional | None | $1,737.80 | $2,630.27 | $9,120.11 |
Anthem BCBS Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $3,162.28 Median $3,715.35 Typical High $16,982.44 | Professional | KM · Facial prosthesis, new mold | $3,162.28 | $3,715.35 | $16,982.44 |
Anthem BCBS Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,348.96 Median $1,584.89 Typical High $7,244.36 | Professional | KN · Facial prosthesis, prior mold | $1,348.96 | $1,584.89 | $7,244.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $173.78 Median $398.11 Typical High $1,778.28 | Professional | RR · Rental | $173.78 | $398.11 | $1,778.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $2,951.21 Typical High $13,489.63 | Professional | UE · Used equipment | $1,318.26 | $2,951.21 | $13,489.63 |
CareSource Setting Facility Modifier None Typical Low $1,071.52 Median $2,570.40 Typical High $2,691.53 | Facility | None | $1,071.52 | $2,570.40 | $2,691.53 |
CareSource Setting Professional Modifier None Typical Low $1,071.52 Median $2,570.40 Typical High $2,691.53 | Professional | None | $1,071.52 | $2,570.40 | $2,691.53 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Facility Modifier KM · Facial prosthesis, new mold Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | KM · Facial prosthesis, new mold | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier KN · Facial prosthesis, prior mold Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | KN · Facial prosthesis, prior mold | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $4,365.16 | Professional | None | $1,548.82 | $1,548.82 | $4,365.16 |
Cigna Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $2,454.71 Median $2,454.71 Typical High $4,168.69 | Professional | KM · Facial prosthesis, new mold | $2,454.71 | $2,454.71 | $4,168.69 |
Cigna Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,023.29 Median $1,023.29 Typical High $1,737.80 | Professional | KN · Facial prosthesis, prior mold | $1,023.29 | $1,023.29 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2,290.87 Median $3,235.94 Typical High $5,370.32 | Professional | None | $2,290.87 | $3,235.94 | $5,370.32 |
Kaiser Permanente Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $2,137.96 Median $3,090.30 Typical High $3,715.35 | Professional | KM · Facial prosthesis, new mold | $2,137.96 | $3,090.30 | $3,715.35 |
Kaiser Permanente Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $912.01 Median $1,288.25 Typical High $1,548.82 | Professional | KN · Facial prosthesis, prior mold | $912.01 | $1,288.25 | $1,548.82 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $4,073.80 | Professional | None | $1,122.02 | $1,584.89 | $4,073.80 |
United Setting Professional Modifier RR · Rental Typical Low $457.09 Median $630.96 Typical High $1,621.81 | Professional | RR · Rental | $457.09 | $630.96 | $1,621.81 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,071.52 Median $1,513.56 Typical High $3,890.45 | Professional | UE · Used equipment | $1,071.52 | $1,513.56 | $3,890.45 |
2 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 $199.53 Median $213.80 Typical High $302.00 | Professional | 55 · Aftercare only | $199.53 | $213.80 | $302.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $154.88 Median $190.55 Typical High $190.55 | Professional | 56 · Pre-op care only | $154.88 | $190.55 | $190.55 |
Where Georgia sits
The same service costs 2.2 times more in Hawaii than in Delaware. 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.
Georgia· 14th of 51
$2,512
HI $3,467DE $1,549
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.