How much rates vary
Facilitymedian $646 · 10th to 90th $186 to $1,585Professionalmedian $363 · 10th to 90th $178 to $575
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $60.26 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $363.08 | Professional | TC · Technical part | $128.82 | $128.82 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $169.82 Typical High $199.53 | Professional | 26 · Professional part | $112.20 | $169.82 | $199.53 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $501.19 Typical High $851.14 | Professional | TC · Technical part | $346.74 | $501.19 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $64.57 | $85.11 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $288.40 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $288.40 | $457.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $117.49 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $117.49 | $169.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $416.87 Typical High $467.74 | Professional | TC · Technical part | $158.49 | $416.87 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $169.82 | Professional | 26 · Professional part | $61.66 | $81.28 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $131.83 | $239.88 | $398.11 |
20 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 $186.21 Median $223.87 Typical High $1,258.93 | Facility | None | $186.21 | $223.87 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $489.78 | Professional | None (both parts) | $186.21 | $186.21 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $93.33 Median $93.33 Typical High $138.04 | Professional | 52 · Reduced service | $93.33 | $93.33 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $54.95 | Professional | 53 · Discontinued | $38.02 | $38.02 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $158.49 Median $158.49 Typical High $177.83 | Professional | CT · Older CT scanner | $158.49 | $158.49 | $177.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | FX · Film X-ray | $151.36 | $151.36 | $169.82 |
BCBS North Carolina Setting Facility Modifier None Typical Low $758.58 Median $1,548.82 Typical High $2,137.96 | Facility | None | $758.58 | $1,548.82 | $2,137.96 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $776.25 Typical High $1,288.25 | Facility | None | $489.78 | $776.25 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $363.08 Typical High $588.84 | Professional | None (both parts) | $263.03 | $363.08 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $186.21 Typical High $208.93 | Facility | None | $169.82 | $186.21 | $208.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $234.42 Median $512.86 Typical High $645.65 | Professional | None (both parts) | $234.42 | $512.86 | $645.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $186.21 Median $269.15 Typical High $323.59 | Professional | 51 · Multiple procedures | $186.21 | $269.15 | $323.59 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $107.15 Typical High $128.82 | Professional | 80 · Assistant surgeon | $74.13 | $107.15 | $128.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $52.48 Median $75.86 Typical High $91.20 | Professional | 81 · Minimal assistant surgeon | $52.48 | $75.86 | $91.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $52.48 Median $75.86 Typical High $91.20 | Professional | 82 · Assistant surgeon, no resident | $52.48 | $75.86 | $91.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $75.86 Typical High $91.20 | Professional | AS · PA/NP assist | $52.48 | $75.86 | $91.20 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $63.10 | $169.82 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $346.74 Typical High $537.03 | Professional | None (both parts) | $194.98 | $346.74 | $537.03 |
Where North Carolina sits
The same service costs 5.1 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· 15th of 51
$363
AK $676UT $132
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.