How much rates vary
Facilitymedian $741 · 10th to 90th $229 to $1,318Professionalmedian $380 · 10th to 90th $229 to $724
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 $54.95 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $57.54 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $354.81 | Professional | TC · Technical part | $169.82 | $169.82 | $354.81 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $181.97 | Professional | 26 · Professional part | $97.72 | $123.03 | $181.97 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $660.69 Typical High $831.76 | Professional | TC · Technical part | $389.05 | $660.69 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $165.96 | Professional | 26 · Professional part | $57.54 | $77.62 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $602.56 | Professional | TC · Technical part | $257.04 | $309.03 | $602.56 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $72.44 | $87.10 | $147.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $426.58 Typical High $478.63 | Professional | TC · Technical part | $204.17 | $426.58 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $158.49 | Professional | 26 · Professional part | $57.54 | $72.44 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $204.17 | $302.00 | $562.34 |
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 $229.09 Median $229.09 Typical High $1,584.89 | Facility | None | $229.09 | $229.09 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $602.56 | Professional | None (both parts) | $229.09 | $229.09 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $144.54 | Professional | 52 · Reduced service | $114.82 | $114.82 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | 53 · Discontinued | $45.71 | $45.71 | $57.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $194.98 Median $194.98 Typical High $234.42 | Professional | CT · Older CT scanner | $194.98 | $194.98 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | FX · Film X-ray | $181.97 | $181.97 | $218.78 |
BCBS North Carolina Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $758.58 | Facility | None | $630.96 | $630.96 | $758.58 |
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 $741.31 Median $1,174.90 Typical High $1,318.26 | Facility | None | $741.31 | $1,174.90 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $398.11 Typical High $776.25 | Professional | None (both parts) | $323.59 | $398.11 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $229.09 Typical High $263.03 | Facility | None | $204.17 | $229.09 | $263.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $602.56 | Professional | None (both parts) | $275.42 | $436.52 | $602.56 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $602.56 Median $776.25 Typical High $1,023.29 | Professional | 50 · Both sides | $602.56 | $776.25 | $1,023.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $199.53 Median $257.04 Typical High $346.74 | Professional | 51 · Multiple procedures | $199.53 | $257.04 | $346.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $81.28 Median $102.33 Typical High $138.04 | Professional | 80 · Assistant surgeon | $81.28 | $102.33 | $138.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $56.23 Median $72.44 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $56.23 | $72.44 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $56.23 Median $72.44 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $56.23 | $72.44 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $56.23 Median $72.44 Typical High $95.50 | Professional | AS · PA/NP assist | $56.23 | $72.44 | $95.50 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $229.09 Typical High $446.68 | Professional | None (both parts) | $60.26 | $229.09 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $724.44 | Professional | None (both parts) | $263.03 | $371.54 | $724.44 |
Where North Carolina sits
The same service costs 5.0 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· 22nd of 51
$380
AK $891UT $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.