How much rates vary
Facilitymedian $550 · 10th to 90th $204 to $1,479Professionalmedian $398 · 10th to 90th $200 to $631
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 $93.33 | Professional | 26 · Professional part | $60.26 | $60.26 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $323.59 | Professional | TC · Technical part | $141.25 | $141.25 | $323.59 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $134.90 Typical High $190.55 | Professional | 26 · Professional part | $102.33 | $134.90 | $190.55 |
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 $60.26 Median $81.28 Typical High $173.78 | Professional | 26 · Professional part | $60.26 | $81.28 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $354.81 Typical High $575.44 | Professional | TC · Technical part | $208.93 | $354.81 | $575.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $91.20 | $162.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $416.87 Typical High $457.09 | Professional | TC · Technical part | $190.55 | $416.87 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $75.86 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $281.84 Typical High $446.68 | Professional | TC · Technical part | $158.49 | $281.84 | $446.68 |
19 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 $204.17 Median $309.03 Typical High $1,258.93 | Facility | None | $204.17 | $309.03 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $426.58 | Professional | None (both parts) | $204.17 | $204.17 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $138.04 | Professional | 52 · Reduced service | $100.00 | $100.00 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | 53 · Discontinued | $40.74 | $40.74 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $169.82 Median $169.82 Typical High $223.87 | Professional | CT · Older CT scanner | $169.82 | $169.82 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $208.93 | Professional | FX · Film X-ray | $162.18 | $162.18 | $208.93 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $1,513.56 | Facility | None | $549.54 | $870.96 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $426.58 Typical High $707.95 | Professional | None (both parts) | $288.40 | $426.58 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $223.87 | Facility | None | $181.97 | $204.17 | $223.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $263.03 Median $501.19 Typical High $645.65 | Professional | None (both parts) | $263.03 | $501.19 | $645.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $190.55 Median $257.04 Typical High $346.74 | Professional | 51 · Multiple procedures | $190.55 | $257.04 | $346.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $75.86 Median $102.33 Typical High $138.04 | Professional | 80 · Assistant surgeon | $75.86 | $102.33 | $138.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $53.70 Median $72.44 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $53.70 | $72.44 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $53.70 Median $72.44 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $53.70 | $72.44 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $72.44 Typical High $95.50 | Professional | AS · PA/NP assist | $53.70 | $72.44 | $95.50 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $181.97 Typical High $363.08 | Professional | None (both parts) | $63.10 | $181.97 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $380.19 Typical High $602.56 | Professional | None (both parts) | $218.78 | $380.19 | $602.56 |
Where North Carolina sits
The same service costs 5.2 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
$398
AK $794UT $151
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.