How much rates vary
Facilitymedian $389 · 10th to 90th $257 to $2,042Professionalmedian $513 · 10th to 90th $257 to $891
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 $87.10 Median $91.20 Typical High $144.54 | Facility | 26 · Professional part | $87.10 | $91.20 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $501.19 | Facility | TC · Technical part | $169.82 | $190.55 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $87.10 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $446.68 | Professional | TC · Technical part | $169.82 | $199.53 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $114.82 Typical High $162.18 | Professional | 26 · Professional part | $64.57 | $114.82 | $162.18 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $208.93 Typical High $281.84 | Professional | 26 · Professional part | $151.36 | $208.93 | $281.84 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $630.96 Typical High $870.96 | Professional | TC · Technical part | $407.38 | $630.96 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $251.19 | Professional | 26 · Professional part | $89.13 | $120.23 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $489.78 Typical High $707.95 | Professional | TC · Technical part | $263.03 | $489.78 | $707.95 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $158.49 Typical High $275.42 | Professional | 26 · Professional part | $109.65 | $158.49 | $275.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $467.74 Typical High $616.60 | Professional | TC · Technical part | $204.17 | $467.74 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $245.47 | Professional | 26 · Professional part | $89.13 | $112.20 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $363.08 Typical High $588.84 | Professional | TC · Technical part | $199.53 | $363.08 | $588.84 |
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 $257.04 Median $302.00 Typical High $870.96 | Facility | None | $257.04 | $302.00 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $288.40 Typical High $660.69 | Professional | None (both parts) | $257.04 | $288.40 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | 52 · Reduced service | $128.82 | $128.82 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | 53 · Discontinued | $51.29 | $51.29 | $61.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $218.78 Typical High $234.42 | Professional | CT · Older CT scanner | $218.78 | $218.78 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | FX · Film X-ray | $204.17 | $204.17 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $213.80 | $524.81 | $524.81 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,348.96 Median $3,162.28 Typical High $3,162.28 | Facility | None | $1,348.96 | $3,162.28 | $3,162.28 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,230.27 Typical High $2,137.96 | Facility | None | $776.25 | $1,230.27 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $588.84 Typical High $933.25 | Professional | None (both parts) | $371.54 | $588.84 | $933.25 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $295.12 | Facility | None | $229.09 | $257.04 | $295.12 |
Medcost Setting Professional Modifier None (both parts) Typical Low $288.40 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $288.40 | $616.60 | $912.01 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $229.09 Median $371.54 Typical High $457.09 | Professional | 51 · Multiple procedures | $229.09 | $371.54 | $457.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $147.91 Typical High $181.97 | Professional | 80 · Assistant surgeon | $95.50 | $147.91 | $181.97 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $67.61 Median $104.71 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $67.61 | $104.71 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $67.61 Median $104.71 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $67.61 | $104.71 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $67.61 Median $104.71 Typical High $128.82 | Professional | AS · PA/NP assist | $67.61 | $104.71 | $128.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $91.20 | $257.04 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $512.86 Typical High $831.76 | Professional | None (both parts) | $288.40 | $512.86 | $831.76 |
Where North Carolina sits
The same service costs 12.3 times more in Vermont 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
$513
VT $2,089UT $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.