How much rates vary
Facilitymedian $427 · 10th to 90th $224 to $1,585Professionalmedian $363 · 10th to 90th $219 to $646
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 Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $77.62 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $151.36 Typical High $380.19 | Professional | TC · Technical part | $147.91 | $151.36 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $144.54 | Professional | 26 · Professional part | $102.33 | $125.89 | $144.54 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $158.49 Typical High $223.87 | Professional | 26 · Professional part | $114.82 | $158.49 | $223.87 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $524.81 Typical High $851.14 | Professional | TC · Technical part | $389.05 | $524.81 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $97.72 Typical High $199.53 | Professional | 26 · Professional part | $70.79 | $97.72 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $208.93 | $288.40 | $524.81 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $194.98 | Professional | 26 · Professional part | $97.72 | $120.23 | $194.98 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $398.11 Typical High $489.78 | Professional | TC · Technical part | $186.21 | $398.11 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $194.98 | Professional | 26 · Professional part | $69.18 | $93.33 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $154.88 | $275.42 | $436.52 |
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 $223.87 Median $269.15 Typical High $1,096.48 | Facility | None | $223.87 | $269.15 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $588.84 | Professional | None (both parts) | $223.87 | $234.42 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $141.25 | Professional | 52 · Reduced service | $112.20 | $112.20 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $56.23 | Professional | 53 · Discontinued | $44.67 | $44.67 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $190.55 Median $190.55 Typical High $229.09 | Professional | CT · Older CT scanner | $190.55 | $190.55 | $229.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | FX · Film X-ray | $181.97 | $181.97 | $218.78 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,071.52 Median $2,454.71 Typical High $2,511.89 | Facility | None | $1,071.52 | $2,454.71 | $2,511.89 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,288.25 | Facility | None | $575.44 | $891.25 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $295.12 | $389.05 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $223.87 Typical High $245.47 | Facility | None | $204.17 | $223.87 | $245.47 |
Medcost Setting Professional Modifier None (both parts) Typical Low $275.42 Median $524.81 Typical High $602.56 | Professional | None (both parts) | $275.42 | $524.81 | $602.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $194.98 Median $269.15 Typical High $338.84 | Professional | 51 · Multiple procedures | $194.98 | $269.15 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $79.43 Median $107.15 Typical High $134.90 | Professional | 80 · Assistant surgeon | $79.43 | $107.15 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $75.86 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $54.95 | $75.86 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $75.86 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $54.95 | $75.86 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $54.95 Median $75.86 Typical High $93.33 | Professional | AS · PA/NP assist | $54.95 | $75.86 | $93.33 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $204.17 Typical High $398.11 | Professional | None (both parts) | $79.43 | $204.17 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $234.42 | $363.08 | $645.65 |
Where North Carolina sits
The same service costs 6.3 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· 23rd of 51
$363
AK $851UT $135
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.