How much rates vary
Facilitymedian $234 · 10th to 90th $155 to $1,023Professionalmedian $295 · 10th to 90th $151 to $468
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 $53.70 Median $57.54 Typical High $89.13 | Facility | 26 · Professional part | $53.70 | $57.54 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $371.54 | Facility | TC · Technical part | $100.00 | $109.65 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $54.95 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $288.40 | Professional | TC · Technical part | $100.00 | $117.49 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $83.18 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $83.18 | $100.00 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $151.36 Typical High $177.83 | Professional | 26 · Professional part | $102.33 | $151.36 | $177.83 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $436.52 Typical High $707.95 | Professional | TC · Technical part | $275.42 | $436.52 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $154.88 | Professional | 26 · Professional part | $58.88 | $77.62 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $234.42 Typical High $371.54 | Professional | TC · Technical part | $138.04 | $234.42 | $371.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $107.15 Typical High $177.83 | Professional | 26 · Professional part | $67.61 | $107.15 | $177.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $331.13 Typical High $380.19 | Professional | TC · Technical part | $125.89 | $331.13 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $54.95 | $74.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $104.71 | $190.55 | $309.03 |
21 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 $154.88 Median $186.21 Typical High $870.96 | Facility | None | $154.88 | $186.21 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $173.78 Typical High $457.09 | Professional | None (both parts) | $154.88 | $173.78 | $457.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $77.62 Typical High $125.89 | Professional | 52 · Reduced service | $77.62 | $77.62 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $50.12 | Professional | 53 · Discontinued | $30.90 | $30.90 | $50.12 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | CT · Older CT scanner | $131.83 | $131.83 | $147.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | FX · Film X-ray | $123.03 | $123.03 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
BCBS North Carolina Setting Facility Modifier None Typical Low $562.34 Median $933.25 Typical High $1,230.27 | Facility | None | $562.34 | $933.25 | $1,230.27 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $616.60 Typical High $1,071.52 | Facility | None | $389.05 | $616.60 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $489.78 | Professional | None (both parts) | $213.80 | $302.00 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $154.88 Typical High $169.82 | Facility | None | $138.04 | $154.88 | $169.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $190.55 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $190.55 | $426.58 | $501.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $223.87 Typical High $269.15 | Professional | 51 · Multiple procedures | $151.36 | $223.87 | $269.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $89.13 Typical High $107.15 | Professional | 80 · Assistant surgeon | $61.66 | $89.13 | $107.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $42.66 Median $61.66 Typical High $75.86 | Professional | 81 · Minimal assistant surgeon | $42.66 | $61.66 | $75.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $42.66 Median $61.66 Typical High $75.86 | Professional | 82 · Assistant surgeon, no resident | $42.66 | $61.66 | $75.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $42.66 Median $61.66 Typical High $75.86 | Professional | AS · PA/NP assist | $42.66 | $61.66 | $75.86 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $56.23 | $141.25 | $281.84 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $158.49 | $281.84 | $446.68 |
Where North Carolina sits
The same service costs 5.9 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· 17th of 51
$295
AK $617UT $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.