How much rates vary
Facilitymedian $437 · 10th to 90th $257 to $2,291Professionalmedian $537 · 10th to 90th $257 to $933
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 $89.13 Median $95.50 Typical High $147.91 | Facility | 26 · Professional part | $89.13 | $95.50 | $147.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $501.19 | Facility | TC · Technical part | $169.82 | $181.97 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $89.13 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $457.09 | Professional | TC · Technical part | $169.82 | $169.82 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $138.04 Typical High $169.82 | Professional | 26 · Professional part | $67.61 | $138.04 | $169.82 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $218.78 Typical High $288.40 | Professional | 26 · Professional part | $151.36 | $218.78 | $288.40 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $724.44 Typical High $851.14 | Professional | TC · Technical part | $436.52 | $724.44 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $120.23 Typical High $257.04 | Professional | 26 · Professional part | $89.13 | $120.23 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $436.52 Typical High $724.44 | Professional | TC · Technical part | $295.12 | $436.52 | $724.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $138.04 Typical High $223.87 | Professional | 26 · Professional part | $112.20 | $138.04 | $223.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $467.74 Typical High $524.81 | Professional | TC · Technical part | $204.17 | $467.74 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $251.19 | Professional | 26 · Professional part | $89.13 | $112.20 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $407.38 Typical High $691.83 | Professional | TC · Technical part | $245.47 | $407.38 | $691.83 |
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 $257.04 Median $309.03 Typical High $870.96 | Facility | None | $257.04 | $309.03 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $263.03 Typical High $691.83 | Professional | None (both parts) | $257.04 | $263.03 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | 52 · Reduced service | $128.82 | $128.82 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $67.61 | Professional | 53 · Discontinued | $51.29 | $51.29 | $67.61 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $218.78 Typical High $239.88 | Professional | CT · Older CT scanner | $218.78 | $218.78 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $208.93 Typical High $223.87 | Professional | FX · Film X-ray | $208.93 | $208.93 | $223.87 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $3,801.89 | Facility | None | $2,089.30 | $2,754.23 | $3,801.89 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,445.44 Typical High $1,949.84 | Facility | None | $933.25 | $1,445.44 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $537.03 Typical High $1,000.00 | Professional | None (both parts) | $407.38 | $537.03 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $257.04 Typical High $295.12 | Facility | None | $234.42 | $257.04 | $295.12 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $616.60 Typical High $741.31 | Professional | None (both parts) | $309.03 | $616.60 | $741.31 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $954.99 Typical High $1,174.90 | Professional | 50 · Both sides | $691.83 | $954.99 | $1,174.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $229.09 Median $316.23 Typical High $389.05 | Professional | 51 · Multiple procedures | $229.09 | $316.23 | $389.05 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $128.82 Typical High $158.49 | Professional | 80 · Assistant surgeon | $91.20 | $128.82 | $158.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $64.57 Median $89.13 Typical High $109.65 | Professional | 81 · Minimal assistant surgeon | $64.57 | $89.13 | $109.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $64.57 Median $89.13 Typical High $109.65 | Professional | 82 · Assistant surgeon, no resident | $64.57 | $89.13 | $109.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $89.13 Typical High $109.65 | Professional | AS · PA/NP assist | $64.57 | $89.13 | $109.65 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $295.12 Typical High $588.84 | Professional | None (both parts) | $95.50 | $295.12 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $501.19 Typical High $933.25 | Professional | None (both parts) | $338.84 | $501.19 | $933.25 |
Where North Carolina sits
The same service costs 6.2 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· 13th of 51
$537
AK $1,047UT $170
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.