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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $794.33 Typical High $794.33 | Professional | None | $691.83 | $794.33 | $794.33 |
BCBS Oklahoma Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
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 $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,000.00 Typical High $7,762.47 | Facility | None | $794.33 | $1,000.00 | $7,762.47 |
Medica Setting Professional Modifier None Typical Low $616.60 Median $1,071.52 Typical High $8,709.64 | Professional | None | $616.60 | $1,071.52 | $8,709.64 |
Medica Setting Professional Modifier RR · Rental Typical Low $199.53 Median $295.12 Typical High $426.58 | Professional | RR · Rental | $199.53 | $295.12 | $426.58 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $707.95 Typical High $1,000.00 | Professional | UE · Used equipment | $467.74 | $707.95 | $1,000.00 |
United Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
United Setting Professional Modifier None Typical Low $489.78 Median $724.44 Typical High $1,071.52 | Professional | None | $489.78 | $724.44 | $1,071.52 |
United Setting Professional Modifier RR · Rental Typical Low $199.53 Median $288.40 Typical High $426.58 | Professional | RR · Rental | $199.53 | $288.40 | $426.58 |
United Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $691.83 Typical High $1,000.00 | Professional | UE · Used equipment | $467.74 | $691.83 | $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 $102.33 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $102.33 | $117.49 | $117.49 |
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 Oklahoma 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.
Oklahoma· 25th of 51
$955
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.