How much rates vary
Facilitymedian $933 · 10th to 90th $724 to $1,660Professionalmedian $1,122 · 10th to 90th $724 to $1,660
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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $1,023.29 | Professional | None (both parts) | $724.44 | $724.44 | $1,023.29 |
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 South Carolina Setting Facility Modifier None Typical Low $1,479.11 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,659.59 | $1,659.59 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS South Carolina Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | KM · Facial prosthesis, new mold | $1,584.89 | $1,584.89 | $1,584.89 |
BCBS South Carolina 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 |
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 (both parts) Typical Low $794.33 Median $794.33 Typical High $977.24 | Professional | None (both parts) | $794.33 | $794.33 | $977.24 |
Cigna Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $933.25 Median $1,258.93 Typical High $1,258.93 | Professional | KM · Facial prosthesis, new mold | $933.25 | $1,258.93 | $1,258.93 |
Cigna Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $389.05 Median $524.81 Typical High $524.81 | Professional | KN · Facial prosthesis, prior mold | $389.05 | $524.81 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,000.00 | Professional | None | $812.83 | $812.83 | $1,000.00 |
Medcost Setting Facility Modifier None Typical Low $478.63 Median $794.33 Typical High $1,995.26 | Facility | None | $478.63 | $794.33 | $1,995.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,174.90 Typical High $2,187.76 | Professional | None (both parts) | $912.01 | $1,174.90 | $2,187.76 |
United Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $812.83 Typical High $1,122.02 | Professional | None (both parts) | $616.60 | $812.83 | $1,122.02 |
11 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 $109.65 Median $109.65 Typical High $154.88 | Professional | 55 · Aftercare only | $109.65 | $109.65 | $154.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $489.78 Typical High $1,148.15 | Professional | 26 · Professional part | $467.74 | $489.78 | $1,148.15 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $1,737.80 Typical High $4,365.16 | Professional | 50 · Both sides | $1,380.38 | $1,737.80 | $4,365.16 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $457.09 Median $588.84 Typical High $1,445.44 | Professional | 51 · Multiple procedures | $457.09 | $588.84 | $1,445.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $234.42 Typical High $575.44 | Professional | 80 · Assistant surgeon | $181.97 | $234.42 | $575.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $128.82 Median $162.18 Typical High $407.38 | Professional | 81 · Minimal assistant surgeon | $128.82 | $162.18 | $407.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $128.82 Median $162.18 Typical High $407.38 | Professional | 82 · Assistant surgeon, no resident | $128.82 | $162.18 | $407.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $128.82 Median $162.18 Typical High $407.38 | Professional | AS · PA/NP assist | $128.82 | $162.18 | $407.38 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $741.31 Typical High $1,737.80 | Professional | TC · Technical part | $707.95 | $741.31 | $1,737.80 |
United Setting Professional Modifier RR · Rental Typical Low $245.47 Median $323.59 Typical High $446.68 | Professional | RR · Rental | $245.47 | $323.59 | $446.68 |
United Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $776.25 Typical High $1,047.13 | Professional | UE · Used equipment | $588.84 | $776.25 | $1,047.13 |
Where South Carolina 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.
South Carolina· 20th of 51
$1,122
HI $1,778CO $794
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.