How much rates vary
Facilitymedian $219 · 10th to 90th $132 to $1,288Professionalmedian $269 · 10th to 90th $132 to $447
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 $47.86 Median $51.29 Typical High $89.13 | Facility | 26 · Professional part | $47.86 | $51.29 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $288.40 | Facility | TC · Technical part | $83.18 | $100.00 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $107.15 | Professional | 26 · Professional part | $47.86 | $50.12 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $257.04 | Professional | TC · Technical part | $83.18 | $102.33 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $74.13 Typical High $89.13 | Professional | 26 · Professional part | $43.65 | $74.13 | $89.13 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $131.83 Typical High $158.49 | Professional | 26 · Professional part | $91.20 | $131.83 | $158.49 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $354.81 Typical High $501.19 | Professional | TC · Technical part | $234.42 | $354.81 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $138.04 | Professional | 26 · Professional part | $51.29 | $69.18 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $234.42 Typical High $371.54 | Professional | TC · Technical part | $125.89 | $234.42 | $371.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $95.50 | $169.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $269.15 Typical High $338.84 | Professional | TC · Technical part | $117.49 | $269.15 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $131.83 | Professional | 26 · Professional part | $47.86 | $66.07 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $177.83 Typical High $288.40 | Professional | TC · Technical part | $97.72 | $177.83 | $288.40 |
22 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 $131.83 Median $165.96 Typical High $645.65 | Facility | None | $131.83 | $165.96 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $398.11 | Professional | None (both parts) | $131.83 | $162.18 | $398.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $66.07 Typical High $109.65 | Professional | 52 · Reduced service | $66.07 | $66.07 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $43.65 | Professional | 53 · Discontinued | $26.30 | $26.30 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $112.20 Median $112.20 Typical High $141.25 | Professional | CT · Older CT scanner | $112.20 | $112.20 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | FX · Film X-ray | $104.71 | $104.71 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
BCBS North Carolina Setting Facility Modifier None Typical Low $977.24 Median $1,778.28 Typical High $1,778.28 | Facility | None | $977.24 | $1,778.28 | $1,778.28 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $1,071.52 | Facility | None | $331.13 | $512.86 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $302.00 Typical High $489.78 | Professional | None (both parts) | $190.55 | $302.00 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $131.83 Typical High $144.54 | Facility | None | $117.49 | $131.83 | $144.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $354.81 Typical High $489.78 | Professional | None (both parts) | $177.83 | $354.81 | $489.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $213.80 Typical High $251.19 | Professional | 51 · Multiple procedures | $123.03 | $213.80 | $251.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $85.11 Typical High $100.00 | Professional | 80 · Assistant surgeon | $51.29 | $85.11 | $100.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $36.31 Median $58.88 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $36.31 | $58.88 | $70.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $36.31 Median $58.88 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $36.31 | $58.88 | $70.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $36.31 Median $58.88 Typical High $70.79 | Professional | AS · PA/NP assist | $36.31 | $58.88 | $70.79 |
Oscar Health Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $50.12 | $120.23 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $251.19 Typical High $407.38 | Professional | None (both parts) | $147.91 | $251.19 | $407.38 |
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· 15th of 51
$269
AK $525UT $100
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.