How much rates vary
Facilitymedian $275 · 10th to 90th $174 to $1,202Professionalmedian $331 · 10th to 90th $170 to $537
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 TC · Technical part Typical Low $114.82 Median $114.82 Typical High $407.38 | Facility | TC · Technical part | $114.82 | $114.82 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $58.88 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $295.12 | Professional | TC · Technical part | $114.82 | $120.23 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $43.65 | $89.13 | $109.65 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $144.54 Typical High $181.97 | Professional | 26 · Professional part | $97.72 | $144.54 | $181.97 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $426.58 Typical High $724.44 | Professional | TC · Technical part | $316.23 | $426.58 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $165.96 | Professional | 26 · Professional part | $57.54 | $79.43 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $169.82 | $281.84 | $457.09 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $100.00 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $100.00 | $165.96 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $338.84 Typical High $389.05 | Professional | TC · Technical part | $154.88 | $338.84 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $162.18 | Professional | 26 · Professional part | $57.54 | $72.44 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $229.09 Typical High $354.81 | Professional | TC · Technical part | $128.82 | $229.09 | $354.81 |
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 $173.78 Median $229.09 Typical High $1,096.48 | Facility | None | $173.78 | $229.09 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $181.97 Typical High $512.86 | Professional | None (both parts) | $173.78 | $181.97 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $87.10 Typical High $138.04 | Professional | 52 · Reduced service | $87.10 | $87.10 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $54.95 | Professional | 53 · Discontinued | $34.67 | $34.67 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | CT · Older CT scanner | $147.91 | $147.91 | $194.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | FX · Film X-ray | $138.04 | $138.04 | $181.97 |
BCBS North Carolina Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $1,412.54 | Facility | None | $562.34 | $676.08 | $1,412.54 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $691.83 Typical High $1,258.93 | Facility | None | $446.68 | $691.83 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $346.74 Typical High $602.56 | Professional | None (both parts) | $245.47 | $346.74 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $173.78 Typical High $190.55 | Facility | None | $154.88 | $173.78 | $190.55 |
Medcost Setting Professional Modifier None (both parts) Typical Low $223.87 Median $426.58 Typical High $575.44 | Professional | None (both parts) | $223.87 | $426.58 | $575.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $158.49 Median $257.04 Typical High $302.00 | Professional | 51 · Multiple procedures | $158.49 | $257.04 | $302.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $63.10 Median $102.33 Typical High $120.23 | Professional | 80 · Assistant surgeon | $63.10 | $102.33 | $120.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $44.67 Median $72.44 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $44.67 | $72.44 | $83.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $44.67 Median $72.44 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $44.67 | $72.44 | $83.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $44.67 Median $72.44 Typical High $83.18 | Professional | AS · PA/NP assist | $44.67 | $72.44 | $83.18 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $60.26 | $158.49 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $190.55 | $316.23 | $512.86 |
Where North Carolina sits
The same service costs 5.5 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
$331
AK $692UT $126
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.