How much rates vary
Facilitymedian $363 · 10th to 90th $224 to $1,698Professionalmedian $339 · 10th to 90th $224 to $603
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 $54.95 Median $58.88 Typical High $91.20 | Facility | 26 · Professional part | $54.95 | $58.88 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $407.38 | Facility | TC · Technical part | $169.82 | $190.55 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $54.95 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $173.78 Typical High $380.19 | Professional | TC · Technical part | $169.82 | $173.78 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $85.11 | $112.20 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $134.90 Typical High $173.78 | Professional | 26 · Professional part | $93.33 | $134.90 | $173.78 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $446.68 Typical High $724.44 | Professional | TC · Technical part | $380.19 | $446.68 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $158.49 | Professional | 26 · Professional part | $54.95 | $74.13 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $275.42 Typical High $537.03 | Professional | TC · Technical part | $208.93 | $275.42 | $537.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $123.03 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $123.03 | $181.97 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $363.08 Typical High $407.38 | Professional | TC · Technical part | $204.17 | $363.08 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $154.88 | Professional | 26 · Professional part | $54.95 | $69.18 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $169.82 | $257.04 | $467.74 |
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 $223.87 Median $275.42 Typical High $870.96 | Facility | None | $223.87 | $275.42 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $549.54 | Professional | None (both parts) | $223.87 | $245.47 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $112.20 Median $112.20 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $112.20 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $44.67 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $190.55 Median $190.55 Typical High $199.53 | Professional | CT · Older CT scanner | $190.55 | $190.55 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $186.21 | Professional | FX · Film X-ray | $177.83 | $177.83 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,380.38 Median $1,905.46 Typical High $2,570.40 | Facility | None | $1,380.38 | $1,905.46 | $2,570.40 |
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 $676.08 Median $1,071.52 Typical High $1,202.26 | Facility | None | $676.08 | $1,071.52 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $275.42 | $354.81 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $223.87 Typical High $251.19 | Facility | None | $199.53 | $223.87 | $251.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $257.04 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $257.04 | $398.11 | $602.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $154.88 Median $229.09 Typical High $338.84 | Professional | 51 · Multiple procedures | $154.88 | $229.09 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $63.10 Median $91.20 Typical High $138.04 | Professional | 80 · Assistant surgeon | $63.10 | $91.20 | $138.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $64.57 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $43.65 | $64.57 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $64.57 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $64.57 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $64.57 Typical High $95.50 | Professional | AS · PA/NP assist | $43.65 | $64.57 | $95.50 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $57.54 | $208.93 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $323.59 Typical High $630.96 | Professional | None (both parts) | $223.87 | $323.59 | $630.96 |
Where North Carolina sits
The same service costs 4.4 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· 19th of 51
$339
AK $776UT $178
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.