How much rates vary
Facilitymedian $219 · 10th to 90th $132 to $1,259Professionalmedian $257 · 10th to 90th $132 to $427
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 $83.18 | Facility | 26 · Professional part | $47.86 | $51.29 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $89.13 Typical High $288.40 | Facility | TC · Technical part | $83.18 | $89.13 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $104.71 | Professional | 26 · Professional part | $47.86 | $50.12 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $251.19 | Professional | TC · Technical part | $83.18 | $102.33 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $74.13 | $91.20 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $123.03 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $123.03 | $154.88 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $354.81 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $138.04 | Professional | 26 · Professional part | $50.12 | $67.61 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $125.89 | $199.53 | $338.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $89.13 | $158.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $257.04 Typical High $309.03 | Professional | TC · Technical part | $117.49 | $257.04 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $47.86 | $63.10 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $97.72 | $177.83 | $275.42 |
23 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 $154.88 Typical High $645.65 | Facility | None | $131.83 | $154.88 | $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 $107.15 | Professional | 52 · Reduced service | $66.07 | $66.07 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $42.66 | Professional | 53 · Discontinued | $26.30 | $26.30 | $42.66 |
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 $245.47 | Professional | None (both parts) | $131.83 | $131.83 | $245.47 |
BCBS North Carolina Setting Facility Modifier None Typical Low $436.52 Median $1,288.25 Typical High $1,778.28 | Facility | None | $436.52 | $1,288.25 | $1,778.28 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $512.86 Typical High $933.25 | Facility | None | $331.13 | $512.86 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $186.21 | $257.04 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $131.83 Typical High $147.91 | Facility | None | $117.49 | $131.83 | $147.91 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $177.83 | $338.84 | $457.09 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $575.44 Typical High $707.95 | Professional | 50 · Both sides | $354.81 | $575.44 | $707.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $190.55 Typical High $234.42 | Professional | 51 · Multiple procedures | $117.49 | $190.55 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $48.98 Median $77.62 Typical High $93.33 | Professional | 80 · Assistant surgeon | $48.98 | $77.62 | $93.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $53.70 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $34.67 | $53.70 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $53.70 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $34.67 | $53.70 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $34.67 Median $53.70 Typical High $66.07 | Professional | AS · PA/NP assist | $34.67 | $53.70 | $66.07 |
Oscar Health Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
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 $245.47 Typical High $389.05 | Professional | None (both parts) | $147.91 | $245.47 | $389.05 |
Where North Carolina sits
The same service costs 5.8 times more in Vermont 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· 16th of 51
$257
VT $603UT $105
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.