How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $549.54 Median $549.54 Typical High $1,412.54 | Facility | None | $549.54 | $549.54 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,412.54 | Professional | None | $549.54 | $549.54 | $1,412.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $2,454.71 | Facility | None | $1,737.80 | $1,819.70 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | RR · Rental | $912.01 | $912.01 | $912.01 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | UE · Used equipment | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,000.00 | Facility | None | $933.25 | $933.25 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $794.33 Typical High $933.25 | Professional | None | $741.31 | $794.33 | $933.25 |
Hometown Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $2,951.21 | Professional | None | $1,000.00 | $1,584.89 | $2,951.21 |
Select Health Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $4,265.80 | Facility | None | $1,737.80 | $1,737.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $1,737.80 | Professional | None | $1,122.02 | $1,584.89 | $1,737.80 |
United Setting Professional Modifier None Typical Low $691.83 Median $1,071.52 Typical High $1,737.80 | Professional | None | $691.83 | $1,071.52 | $1,737.80 |
United Setting Professional Modifier RR · Rental Typical Low $234.42 Median $295.12 Typical High $426.58 | Professional | RR · Rental | $234.42 | $295.12 | $426.58 |
United Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $707.95 Typical High $1,000.00 | Professional | UE · Used equipment | $549.54 | $707.95 | $1,000.00 |
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 $83.18 Median $83.18 Typical High $213.80 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $213.80 |
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 Nevada 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.
Nevada· 24th of 51
$977
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.