How much rates vary
Facilitymedian $550 · 10th to 90th $200 to $1,318Professionalmedian $363 · 10th to 90th $200 to $631
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 $107.15 | Professional | 26 · Professional part | $54.95 | $57.54 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $354.81 | Professional | TC · Technical part | $141.25 | $141.25 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $181.97 | Professional | 26 · Professional part | $97.72 | $128.82 | $181.97 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $524.81 Typical High $851.14 | Professional | TC · Technical part | $371.54 | $524.81 | $851.14 |
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 $208.93 Median $302.00 Typical High $549.54 | Professional | TC · Technical part | $208.93 | $302.00 | $549.54 |
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 $194.98 Median $426.58 Typical High $457.09 | Professional | TC · Technical part | $194.98 | $426.58 | $457.09 |
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 $162.18 Median $281.84 Typical High $446.68 | Professional | TC · Technical part | $162.18 | $281.84 | $446.68 |
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 $199.53 Median $245.47 Typical High $1,258.93 | Facility | None | $199.53 | $245.47 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $478.63 | Professional | None (both parts) | $199.53 | $199.53 | $478.63 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $138.04 | Professional | 52 · Reduced service | $100.00 | $100.00 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $54.95 | Professional | 53 · Discontinued | $39.81 | $39.81 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $169.82 Median $169.82 Typical High $223.87 | Professional | CT · Older CT scanner | $169.82 | $169.82 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | FX · Film X-ray | $158.49 | $158.49 | $208.93 |
BCBS Setting Facility Modifier None Typical Low $630.96 Median $758.58 Typical High $1,778.28 | Facility | None | $630.96 | $758.58 | $1,778.28 |
BCBS 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 $549.54 Median $851.14 Typical High $1,318.26 | Facility | None | $549.54 | $851.14 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $380.19 Typical High $724.44 | Professional | None (both parts) | $288.40 | $380.19 | $724.44 |
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 $177.83 Median $199.53 Typical High $218.78 | Facility | None | $177.83 | $199.53 | $218.78 |
Medcost Setting Professional Modifier None (both parts) Typical Low $269.15 Median $426.58 Typical High $602.56 | Professional | None (both parts) | $269.15 | $426.58 | $602.56 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $588.84 Median $776.25 Typical High $1,023.29 | Professional | 50 · Both sides | $588.84 | $776.25 | $1,023.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $194.98 Median $257.04 Typical High $338.84 | Professional | 51 · Multiple procedures | $194.98 | $257.04 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $77.62 Median $102.33 Typical High $134.90 | Professional | 80 · Assistant surgeon | $77.62 | $102.33 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $72.44 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $54.95 | $72.44 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $72.44 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $54.95 | $72.44 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $54.95 Median $72.44 Typical High $95.50 | Professional | AS · PA/NP assist | $54.95 | $72.44 | $95.50 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $60.26 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $60.26 | $181.97 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $363.08 Typical High $588.84 | Professional | None (both parts) | $223.87 | $363.08 | $588.84 |
Where North Carolina sits
The same service costs 5.1 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
$363
AK $776UT $151
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.