How much rates vary
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 Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
BCBS Arizona Setting Facility Modifier None Typical Low $416.87 Median $1,905.46 Typical High $2,884.03 | Facility | None | $416.87 | $1,905.46 | $2,884.03 |
BCBS Arizona Setting Professional Modifier None Typical Low $1,230.27 Median $1,412.54 Typical High $2,511.89 | Professional | None | $1,230.27 | $1,412.54 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | None | $794.33 | $794.33 | $933.25 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $1,698.24 Typical High $7,762.47 | Facility | None | $776.25 | $1,698.24 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $1,071.52 Typical High $8,709.64 | Professional | None | $691.83 | $1,071.52 | $8,709.64 |
Medica Setting Professional Modifier RR · Rental Typical Low $275.42 Median $295.12 Typical High $446.68 | Professional | RR · Rental | $275.42 | $295.12 | $446.68 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $707.95 Typical High $1,047.13 | Professional | UE · Used equipment | $645.65 | $707.95 | $1,047.13 |
United Setting Professional Modifier None Typical Low $676.08 Median $741.31 Typical High $1,122.02 | Professional | None | $676.08 | $741.31 | $1,122.02 |
United Setting Professional Modifier RR · Rental Typical Low $275.42 Median $295.12 Typical High $446.68 | Professional | RR · Rental | $275.42 | $295.12 | $446.68 |
United Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $707.95 Typical High $1,047.13 | Professional | UE · Used equipment | $645.65 | $707.95 | $1,047.13 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | KM · Facial prosthesis, new mold | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | KN · Facial prosthesis, prior mold | $190.55 | $190.55 | $190.55 |
Where Arizona 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.
Arizona· 38th of 51
$891
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.