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North Carolina rates for HCPCS 0691T

Automated analysis of an existing computed tomography study for vertebral fracture(s), including assessment of bone density when performed, data preparation, interpretation, and report

Facilitymedian $9 · 10th–90th $7–$170%20%10th90th$9Professionalmedian $8 · 10th–90th $7–$180%20%10th90th$8$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.02 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $40.74
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $8.71 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $11.48 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.72 / $20.42
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $74.13 / $74.13