How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,950 to $5,248Professionalmedian $2,754 · 10th to 90th $1,445 to $5,495
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,949.84 | $2,089.30 | $2,089.30 |
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 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $3,311.31 | Facility | None | $2,454.71 | $3,090.30 | $3,311.31 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $2,754.23 Median $17,378.01 Typical High $26,915.35 | Professional | None | $2,754.23 | $17,378.01 | $26,915.35 |
Asuris Northwest Health Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $2,398.83 Median $2,630.27 Typical High $3,235.94 | Professional | KM · Facial prosthesis, new mold | $2,398.83 | $2,630.27 | $3,235.94 |
Asuris Northwest Health Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,023.29 Median $1,096.48 Typical High $1,380.38 | Professional | KN · Facial prosthesis, prior mold | $1,023.29 | $1,096.48 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,949.84 | Facility | None | $1,819.70 | $1,819.70 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Kaiser Permanente Setting Facility Modifier None Typical Low $1,412.54 Median $3,311.31 Typical High $5,370.32 | Facility | None | $1,412.54 | $3,311.31 | $5,370.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,412.54 Median $3,311.31 Typical High $5,495.41 | Professional | None | $1,412.54 | $3,311.31 | $5,495.41 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $1,288.25 Typical High $3,235.94 | Professional | None | $60.26 | $1,288.25 | $3,235.94 |
Pacific Source Setting Facility Modifier None Typical Low $2,511.89 Median $3,090.30 Typical High $3,162.28 | Facility | None | $2,511.89 | $3,090.30 | $3,162.28 |
Premera BCBS Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $6,165.95 | Facility | None | $2,818.38 | $2,818.38 | $6,165.95 |
Premera BCBS Setting Facility Modifier KM · Facial prosthesis, new mold Typical Low $2,630.27 Median $2,630.27 Typical High $5,888.44 | Facility | KM · Facial prosthesis, new mold | $2,630.27 | $2,630.27 | $5,888.44 |
Premera BCBS Setting Facility Modifier KN · Facial prosthesis, prior mold Typical Low $1,122.02 Median $1,122.02 Typical High $2,511.89 | Facility | KN · Facial prosthesis, prior mold | $1,122.02 | $1,122.02 | $2,511.89 |
Premera BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,090.30 | Professional | None | $2,630.27 | $2,630.27 | $3,090.30 |
Premera BCBS Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $2,511.89 Median $2,511.89 Typical High $3,090.30 | Professional | KM · Facial prosthesis, new mold | $2,511.89 | $2,511.89 | $3,090.30 |
Premera BCBS Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,071.52 Median $1,071.52 Typical High $1,258.93 | Professional | KN · Facial prosthesis, prior mold | $1,071.52 | $1,071.52 | $1,258.93 |
Regence BlueShield Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Regence BlueShield Setting Professional Modifier None Typical Low $2,630.27 Median $2,754.23 Typical High $3,388.44 | Professional | None | $2,630.27 | $2,754.23 | $3,388.44 |
Regence BlueShield Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $2,454.71 Median $2,630.27 Typical High $3,235.94 | Professional | KM · Facial prosthesis, new mold | $2,454.71 | $2,630.27 | $3,235.94 |
Regence BlueShield Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $1,047.13 Median $1,096.48 Typical High $1,380.38 | Professional | KN · Facial prosthesis, prior mold | $1,047.13 | $1,096.48 | $1,380.38 |
United Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,818.38 | Professional | None | $1,445.44 | $1,445.44 | $2,818.38 |
Wellpoint Setting Professional Modifier None Typical Low $1,778.28 Median $2,290.87 Typical High $4,897.79 | Professional | None | $1,778.28 | $2,290.87 | $4,897.79 |
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 $288.40 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $288.40 | $309.03 | $309.03 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | NR · New when rented | $2,818.38 | $2,818.38 | $2,818.38 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2,630.27 Median $2,630.27 Typical High $3,090.30 | Professional | NR · New when rented | $2,630.27 | $2,630.27 | $3,090.30 |
United Setting Professional Modifier RR · Rental Typical Low $575.44 Median $575.44 Typical High $1,122.02 | Professional | RR · Rental | $575.44 | $575.44 | $1,122.02 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,380.38 Median $1,380.38 Typical High $2,691.53 | Professional | UE · Used equipment | $1,380.38 | $1,380.38 | $2,691.53 |
Where Washington 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.
Washington· 8th of 51
$2,818
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.