How much rates vary
Facilitymedian $257 · 10th to 90th $170 to $1,072Professionalmedian $302 · 10th to 90th $170 to $525
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 $114.82 Median $123.03 Typical High $371.54 | Facility | TC · Technical part | $114.82 | $123.03 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $54.95 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $131.83 Typical High $323.59 | Professional | TC · Technical part | $114.82 | $131.83 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $85.11 Typical High $104.71 | Professional | 26 · Professional part | $48.98 | $85.11 | $104.71 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $138.04 Typical High $173.78 | Professional | 26 · Professional part | $93.33 | $138.04 | $173.78 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $416.87 Typical High $691.83 | Professional | TC · Technical part | $302.00 | $416.87 | $691.83 |
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 $169.82 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $169.82 | $234.42 | $436.52 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $95.50 | $151.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $323.59 Typical High $380.19 | Professional | TC · Technical part | $154.88 | $323.59 | $380.19 |
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 $128.82 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $128.82 | $218.78 | $354.81 |
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 $169.82 Median $204.17 Typical High $870.96 | Facility | None | $169.82 | $204.17 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $467.74 | Professional | None (both parts) | $169.82 | $199.53 | $467.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $138.04 | Professional | 52 · Reduced service | $85.11 | $85.11 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $54.95 | Professional | 53 · Discontinued | $33.88 | $33.88 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $144.54 Typical High $190.55 | Professional | CT · Older CT scanner | $144.54 | $144.54 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $181.97 | Professional | FX · Film X-ray | $134.90 | $134.90 | $181.97 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,380.38 Median $1,548.82 Typical High $1,584.89 | Facility | None | $1,380.38 | $1,548.82 | $1,584.89 |
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 $446.68 Median $691.83 Typical High $1,071.52 | Facility | None | $446.68 | $691.83 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $316.23 Typical High $575.44 | Professional | None (both parts) | $239.88 | $316.23 | $575.44 |
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 $151.36 Median $169.82 Typical High $186.21 | Facility | None | $151.36 | $169.82 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $223.87 Median $407.38 Typical High $537.03 | Professional | None (both parts) | $223.87 | $407.38 | $537.03 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $467.74 Median $676.08 Typical High $831.76 | Professional | 50 · Both sides | $467.74 | $676.08 | $831.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $158.49 Median $223.87 Typical High $281.84 | Professional | 51 · Multiple procedures | $158.49 | $223.87 | $281.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $63.10 Median $89.13 Typical High $112.20 | Professional | 80 · Assistant surgeon | $63.10 | $89.13 | $112.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $43.65 Median $63.10 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $43.65 | $63.10 | $77.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $43.65 Median $63.10 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $43.65 | $63.10 | $77.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $43.65 Median $63.10 Typical High $77.62 | Professional | AS · PA/NP assist | $43.65 | $63.10 | $77.62 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $154.88 Typical High $302.00 | Professional | None (both parts) | $57.54 | $154.88 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $186.21 | $288.40 | $489.78 |
Where North Carolina sits
The same service costs 5.4 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· 21st of 51
$302
AK $676UT $126
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.