How much rates vary
Facilitymedian $229 · 10th to 90th $129 to $1,096Professionalmedian $240 · 10th to 90th $123 to $398
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 $40.74 Median $43.65 Typical High $87.10 | Facility | 26 · Professional part | $40.74 | $43.65 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $288.40 | Facility | TC · Technical part | $89.13 | $104.71 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $102.33 | Professional | 26 · Professional part | $40.74 | $45.71 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $257.04 | Professional | TC · Technical part | $89.13 | $104.71 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $63.10 | $77.62 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $131.83 Typical High $151.36 | Professional | 26 · Professional part | $87.10 | $131.83 | $151.36 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $331.13 Typical High $501.19 | Professional | TC · Technical part | $234.42 | $331.13 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $63.10 Typical High $120.23 | Professional | 26 · Professional part | $45.71 | $63.10 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $120.23 | $190.55 | $309.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $51.29 | $97.72 | $154.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $269.15 Typical High $295.12 | Professional | TC · Technical part | $109.65 | $269.15 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $42.66 | $61.66 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $169.82 Typical High $263.03 | Professional | TC · Technical part | $91.20 | $169.82 | $263.03 |
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 $128.82 Median $162.18 Typical High $645.65 | Facility | None | $128.82 | $162.18 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $398.11 | Professional | None (both parts) | $128.82 | $154.88 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $64.57 Typical High $104.71 | Professional | 52 · Reduced service | $64.57 | $64.57 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $41.69 | Professional | 53 · Discontinued | $25.70 | $25.70 | $41.69 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | CT · Older CT scanner | $109.65 | $109.65 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | FX · Film X-ray | $102.33 | $102.33 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $239.88 | Professional | None (both parts) | $97.72 | $102.33 | $239.88 |
BCBS North Carolina Setting Facility Modifier None Typical Low $363.08 Median $1,096.48 Typical High $1,479.11 | Facility | None | $363.08 | $1,096.48 | $1,479.11 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $912.01 | Facility | None | $346.74 | $549.54 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $407.38 | Professional | None (both parts) | $181.97 | $251.19 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $128.82 Typical High $144.54 | Facility | None | $117.49 | $128.82 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $158.49 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $158.49 | $346.74 | $478.63 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $177.83 Typical High $239.88 | Professional | 51 · Multiple procedures | $123.03 | $177.83 | $239.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $48.98 Median $70.79 Typical High $95.50 | Professional | 80 · Assistant surgeon | $48.98 | $70.79 | $95.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $48.98 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $33.88 | $48.98 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $48.98 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $48.98 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $48.98 Typical High $66.07 | Professional | AS · PA/NP assist | $33.88 | $48.98 | $66.07 |
Oscar Health Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $97.72 Typical High $234.42 | Professional | None (both parts) | $41.69 | $97.72 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $131.83 | $234.42 | $371.54 |
Where North Carolina sits
The same service costs 4.9 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· 18th of 51
$240
AK $513UT $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.