How much rates vary
Facilitymedian $933 · 10th to 90th $479 to $1,549Professionalmedian $977 · 10th to 90th $479 to $1,445
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $549.54 | Professional | None | $478.63 | $478.63 | $549.54 |
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 |
Aetna Setting Professional Modifier RR · Rental Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | RR · Rental | $478.63 | $478.63 | $478.63 |
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 $794.33 Median $794.33 Typical High $933.25 | Professional | None | $794.33 | $794.33 | $933.25 |
Molina Setting Professional Modifier None Typical Low $562.34 Median $1,148.15 Typical High $1,412.54 | Professional | None | $562.34 | $1,148.15 | $1,412.54 |
Regence BlueShield Setting Facility Modifier None Typical Low $1,479.11 Median $1,548.82 Typical High $2,398.83 | Facility | None | $1,479.11 | $1,548.82 | $2,398.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,174.90 | Professional | None | $1,122.02 | $1,122.02 | $1,174.90 |
Regence BlueShield Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,071.52 Median $1,071.52 Typical High $1,122.02 | Professional | KM · Facial prosthesis, new mold | $1,071.52 | $1,071.52 | $1,122.02 |
Regence BlueShield Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $446.68 Median $446.68 Typical High $467.74 | Professional | KN · Facial prosthesis, prior mold | $446.68 | $446.68 | $467.74 |
Select Health Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Select Health Setting Professional Modifier None Typical Low $794.33 Median $1,584.89 Typical High $1,659.59 | Professional | None | $794.33 | $1,584.89 | $1,659.59 |
Select Health Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $758.58 Median $1,513.56 Typical High $1,584.89 | Professional | KM · Facial prosthesis, new mold | $758.58 | $1,513.56 | $1,584.89 |
Select Health Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $316.23 Median $645.65 Typical High $660.69 | Professional | KN · Facial prosthesis, prior mold | $316.23 | $645.65 | $660.69 |
U of Utah Health Plan Setting Professional Modifier None Typical Low $977.24 Median $1,288.25 Typical High $1,995.26 | Professional | None | $977.24 | $1,288.25 | $1,995.26 |
United Setting Professional Modifier None Typical Low $575.44 Median $741.31 Typical High $1,258.93 | Professional | None | $575.44 | $741.31 | $1,258.93 |
United Setting Professional Modifier RR · Rental Typical Low $234.42 Median $295.12 Typical High $389.05 | Professional | RR · Rental | $234.42 | $295.12 | $389.05 |
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 $72.44 Median $72.44 Typical High $83.18 | Professional | 55 · Aftercare only | $72.44 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 56 · Pre-op care only | $47.86 | $47.86 | $47.86 |
United Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $707.95 Typical High $933.25 | Professional | UE · Used equipment | $549.54 | $707.95 | $933.25 |
Where Utah 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.
Utah· 23rd of 51
$977
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.