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 Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $1,318.26 | Facility | None | $870.96 | $870.96 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $912.01 Typical High $1,348.96 | Professional | None | $870.96 | $912.01 | $1,348.96 |
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 |
BCBS Louisiana Setting Facility Modifier None Typical Low $1,412.54 Median $2,454.71 Typical High $3,467.37 | Facility | None | $1,412.54 | $2,454.71 | $3,467.37 |
BCBS Louisiana Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
BCBS Louisiana Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | KM · Facial prosthesis, new mold | $1,096.48 | $1,096.48 | $1,096.48 |
BCBS Louisiana Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | KN · Facial prosthesis, prior mold | $467.74 | $467.74 | $467.74 |
Christus Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
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 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,698.24 | $1,995.26 | $1,995.26 |
United Setting Professional Modifier None Typical Low $489.78 Median $758.58 Typical High $1,122.02 | Professional | None | $489.78 | $758.58 | $1,122.02 |
United Setting Professional Modifier RR · Rental Typical Low $199.53 Median $302.00 Typical High $446.68 | Professional | RR · Rental | $199.53 | $302.00 | $446.68 |
United Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $724.44 Typical High $1,047.13 | Professional | UE · Used equipment | $467.74 | $724.44 | $1,047.13 |
1 more rate 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 $128.82 Median $138.04 Typical High $199.53 | Professional | 55 · Aftercare only | $128.82 | $138.04 | $199.53 |
Where Louisiana 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.
Louisiana· 33rd of 51
$933
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.