How much rates vary
Facilitymedian $363 · 10th to 90th $251 to $1,862Professionalmedian $501 · 10th to 90th $251 to $832
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 $83.18 Median $87.10 Typical High $138.04 | Facility | 26 · Professional part | $83.18 | $87.10 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $489.78 | Facility | TC · Technical part | $169.82 | $190.55 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $83.18 | $83.18 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $436.52 | Professional | TC · Technical part | $169.82 | $190.55 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $109.65 | $154.88 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $204.17 Typical High $263.03 | Professional | 26 · Professional part | $144.54 | $204.17 | $263.03 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $575.44 Typical High $870.96 | Professional | TC · Technical part | $426.58 | $575.44 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $239.88 | Professional | 26 · Professional part | $83.18 | $112.20 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $426.58 Typical High $758.58 | Professional | TC · Technical part | $263.03 | $426.58 | $758.58 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $144.54 Typical High $251.19 | Professional | 26 · Professional part | $104.71 | $144.54 | $251.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $457.09 Typical High $616.60 | Professional | TC · Technical part | $204.17 | $457.09 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $104.71 Typical High $229.09 | Professional | 26 · Professional part | $83.18 | $104.71 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $371.54 Typical High $616.60 | Professional | TC · Technical part | $194.98 | $371.54 | $616.60 |
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 $251.19 Median $302.00 Typical High $870.96 | Facility | None | $251.19 | $302.00 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $616.60 | Professional | None (both parts) | $251.19 | $288.40 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $151.36 | Professional | 52 · Reduced service | $125.89 | $125.89 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $60.26 | Professional | 53 · Discontinued | $50.12 | $50.12 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | CT · Older CT scanner | $213.80 | $213.80 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | FX · Film X-ray | $199.53 | $199.53 | $218.78 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,698.24 Median $3,090.30 Typical High $3,162.28 | Facility | None | $1,698.24 | $3,090.30 | $3,162.28 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,202.26 Typical High $1,862.09 | Facility | None | $776.25 | $1,202.26 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $537.03 Typical High $933.25 | Professional | None (both parts) | $380.19 | $537.03 | $933.25 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $251.19 Typical High $288.40 | Facility | None | $229.09 | $251.19 | $288.40 |
Medcost Setting Professional Modifier None (both parts) Typical Low $288.40 Median $602.56 Typical High $891.25 | Professional | None (both parts) | $288.40 | $602.56 | $891.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $218.78 Median $363.08 Typical High $436.52 | Professional | 51 · Multiple procedures | $218.78 | $363.08 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $87.10 Median $147.91 Typical High $177.83 | Professional | 80 · Assistant surgeon | $87.10 | $147.91 | $177.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $61.66 Median $102.33 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $61.66 | $102.33 | $123.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $61.66 Median $102.33 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $61.66 | $102.33 | $123.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $61.66 Median $102.33 Typical High $123.03 | Professional | AS · PA/NP assist | $61.66 | $102.33 | $123.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $251.19 Typical High $501.19 | Professional | None (both parts) | $87.10 | $251.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $512.86 Typical High $812.83 | Professional | None (both parts) | $281.84 | $512.86 | $812.83 |
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· 14th of 51
$501
AK $1,000UT $170
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.