How much rates vary
Facilitymedian $1,585 · 10th to 90th $1,000 to $2,692Professionalmedian $1,413 · 10th to 90th $741 to $2,884
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,071.52 | Professional | None | $1,000.00 | $1,071.52 | $1,071.52 |
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 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,584.89 Typical High $1,698.24 | Facility | None | $1,258.93 | $1,584.89 | $1,698.24 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $1,412.54 Median $8,912.51 Typical High $13,803.84 | Professional | None | $1,412.54 | $8,912.51 | $13,803.84 |
Asuris Northwest Health Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,230.27 Median $1,348.96 Typical High $1,659.59 | Professional | KM · Facial prosthesis, new mold | $1,230.27 | $1,348.96 | $1,659.59 |
Asuris Northwest Health Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $524.81 Median $562.34 Typical High $707.95 | Professional | KN · Facial prosthesis, prior mold | $524.81 | $562.34 | $707.95 |
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 $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Kaiser Permanente Setting Facility Modifier None Typical Low $707.95 Median $1,698.24 Typical High $2,754.23 | Facility | None | $707.95 | $1,698.24 | $2,754.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $724.44 Median $1,698.24 Typical High $2,818.38 | Professional | None | $724.44 | $1,698.24 | $2,818.38 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $660.69 Typical High $1,659.59 | Professional | None | $60.26 | $660.69 | $1,659.59 |
Pacific Source Setting Facility Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $1,621.81 | Facility | None | $1,288.25 | $1,584.89 | $1,621.81 |
Premera BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $3,162.28 | Facility | None | $1,445.44 | $1,445.44 | $3,162.28 |
Premera BCBS Setting Facility Modifier KM · Facial prosthesis, new mold Typical Low $1,348.96 Median $1,348.96 Typical High $3,019.95 | Facility | KM · Facial prosthesis, new mold | $1,348.96 | $1,348.96 | $3,019.95 |
Premera BCBS Setting Facility Modifier KN · Facial prosthesis, prior mold Typical Low $575.44 Median $575.44 Typical High $1,288.25 | Facility | KN · Facial prosthesis, prior mold | $575.44 | $575.44 | $1,288.25 |
Premera BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,584.89 | Professional | None | $1,348.96 | $1,348.96 | $1,584.89 |
Premera BCBS Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,288.25 Median $1,288.25 Typical High $1,513.56 | Professional | KM · Facial prosthesis, new mold | $1,288.25 | $1,288.25 | $1,513.56 |
Premera BCBS Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $537.03 Median $537.03 Typical High $758.58 | Professional | KN · Facial prosthesis, prior mold | $537.03 | $537.03 | $758.58 |
Regence BlueShield 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 |
Regence BlueShield Setting Professional Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $1,737.80 | Professional | None | $1,318.26 | $1,412.54 | $1,737.80 |
Regence BlueShield Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $1,258.93 Median $1,348.96 Typical High $1,659.59 | Professional | KM · Facial prosthesis, new mold | $1,258.93 | $1,348.96 | $1,659.59 |
Regence BlueShield Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $537.03 Median $562.34 Typical High $707.95 | Professional | KN · Facial prosthesis, prior mold | $537.03 | $562.34 | $707.95 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
United Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,445.44 | Professional | None | $741.31 | $741.31 | $1,445.44 |
Wellpoint Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $2,511.89 | Professional | None | $912.01 | $1,174.90 | $2,511.89 |
5 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 $147.91 Median $158.49 Typical High $158.49 | Professional | 55 · Aftercare only | $147.91 | $158.49 | $158.49 |
Premera BCBS Setting Facility Modifier NR · New when rented Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | NR · New when rented | $1,445.44 | $1,445.44 | $1,445.44 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $1,348.96 Median $1,348.96 Typical High $1,584.89 | Professional | NR · New when rented | $1,348.96 | $1,348.96 | $1,584.89 |
United Setting Professional Modifier RR · Rental Typical Low $295.12 Median $295.12 Typical High $575.44 | Professional | RR · Rental | $295.12 | $295.12 | $575.44 |
United Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $707.95 Typical High $1,380.38 | Professional | UE · Used equipment | $707.95 | $707.95 | $1,380.38 |
Where Washington 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.
Washington· 9th of 51
$1,445
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.