How much rates vary
Facilitymedian $245 · 10th to 90th $162 to $1,096Professionalmedian $269 · 10th to 90th $162 to $501
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 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $97.72 | Facility | 26 · Professional part | $61.66 | $66.07 | $97.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $288.40 | Facility | TC · Technical part | $100.00 | $117.49 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $60.26 | $61.66 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $257.04 | Professional | TC · Technical part | $100.00 | $117.49 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $81.28 | $112.20 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $147.91 Typical High $194.98 | Professional | 26 · Professional part | $102.33 | $147.91 | $194.98 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $331.13 Typical High $501.19 | Professional | TC · Technical part | $251.19 | $331.13 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $173.78 | Professional | 26 · Professional part | $60.26 | $83.18 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $151.36 | $213.80 | $398.11 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $107.15 | $169.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $269.15 Typical High $371.54 | Professional | TC · Technical part | $125.89 | $269.15 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $75.86 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $128.82 | $204.17 | $354.81 |
22 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 Facility Modifier None Typical Low $162.18 Median $194.98 Typical High $870.96 | Facility | None | $162.18 | $194.98 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $416.87 | Professional | None (both parts) | $162.18 | $177.83 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $81.28 Typical High $112.20 | Professional | 52 · Reduced service | $81.28 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $44.67 | Professional | 53 · Discontinued | $32.36 | $32.36 | $44.67 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $138.04 Typical High $154.88 | Professional | CT · Older CT scanner | $138.04 | $138.04 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $144.54 | Professional | FX · Film X-ray | $128.82 | $128.82 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $120.23 | $162.18 | $302.00 |
BCBS North Carolina Setting Facility Modifier None Typical Low $977.24 Median $1,778.28 Typical High $1,778.28 | Facility | None | $977.24 | $1,778.28 | $1,778.28 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $616.60 Typical High $933.25 | Facility | None | $389.05 | $616.60 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $239.88 | $295.12 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $162.18 Typical High $177.83 | Facility | None | $144.54 | $162.18 | $177.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $199.53 Median $380.19 Typical High $478.63 | Professional | None (both parts) | $199.53 | $380.19 | $478.63 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $134.90 Median $194.98 Typical High $239.88 | Professional | 51 · Multiple procedures | $134.90 | $194.98 | $239.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $56.23 Median $77.62 Typical High $97.72 | Professional | 80 · Assistant surgeon | $56.23 | $77.62 | $97.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $39.81 Median $53.70 Typical High $67.61 | Professional | 81 · Minimal assistant surgeon | $39.81 | $53.70 | $67.61 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $39.81 Median $53.70 Typical High $67.61 | Professional | 82 · Assistant surgeon, no resident | $39.81 | $53.70 | $67.61 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $39.81 Median $53.70 Typical High $67.61 | Professional | AS · PA/NP assist | $39.81 | $53.70 | $67.61 |
Oscar Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $64.57 | $147.91 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $501.19 | Professional | None (both parts) | $190.55 | $288.40 | $501.19 |
Where North Carolina sits
The same service costs 6.2 times more in Alaska than in Utah. 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.
North Carolina· 20th of 51
$269
AK $646UT $105
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.