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 $478.63 Median $1,380.38 Typical High $1,412.54 | Professional | None | $478.63 | $1,380.38 | $1,412.54 |
BCBS Montana Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,445.44 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $1,348.96 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,348.96 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | KM · Facial prosthesis, new mold | $1,548.82 | $1,548.82 | $1,548.82 |
Cigna Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | KN · Facial prosthesis, prior mold | $660.69 | $660.69 | $660.69 |
MountainHealth Co-op Setting Facility Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $93,325.43 | Facility | None | $1,202.26 | $1,995.26 | $93,325.43 |
MountainHealth Co-op Setting Professional Modifier None Typical Low $1,584.89 Median $1,737.80 Typical High $97,723.72 | Professional | None | $1,584.89 | $1,737.80 | $97,723.72 |
Providence Setting Facility Modifier None Typical Low $891.25 Median $1,659.59 Typical High $1,659.59 | Facility | None | $891.25 | $1,659.59 | $1,659.59 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $1,230.27 Typical High $1,659.59 | Professional | None | $79.43 | $1,230.27 | $1,659.59 |
Providence Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,479.11 Median $1,548.82 Typical High $1,548.82 | Professional | KM · Facial prosthesis, new mold | $1,479.11 | $1,548.82 | $1,548.82 |
Providence Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $616.60 Median $660.69 Typical High $660.69 | Professional | KN · Facial prosthesis, prior mold | $616.60 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $707.95 Median $741.31 Typical High $1,230.27 | Professional | None | $707.95 | $741.31 | $1,230.27 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier RR · Rental Typical Low $281.84 Median $295.12 Typical High $489.78 | Professional | RR · Rental | $281.84 | $295.12 | $489.78 |
United Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $707.95 Typical High $1,174.90 | Professional | UE · Used equipment | $676.08 | $707.95 | $1,174.90 |
Where Montana 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.
Montana· 3rd of 51
$1,660
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.