How much rates vary
Facilitymedian $339 · 10th to 90th $229 to $1,259Professionalmedian $347 · 10th to 90th $229 to $631
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 $60.26 Median $66.07 Typical High $107.15 | Facility | 26 · Professional part | $60.26 | $66.07 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $389.05 | Facility | TC · Technical part | $169.82 | $190.55 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $60.26 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $173.78 Typical High $338.84 | Professional | TC · Technical part | $169.82 | $173.78 | $338.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $81.28 | $112.20 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $147.91 Typical High $194.98 | Professional | 26 · Professional part | $102.33 | $147.91 | $194.98 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $467.74 Typical High $724.44 | Professional | TC · Technical part | $380.19 | $467.74 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $173.78 | Professional | 26 · Professional part | $60.26 | $83.18 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $275.42 Typical High $537.03 | Professional | TC · Technical part | $213.80 | $275.42 | $537.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $134.90 Typical High $194.98 | Professional | 26 · Professional part | $75.86 | $134.90 | $194.98 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $389.05 Typical High $436.52 | Professional | TC · Technical part | $204.17 | $389.05 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $75.86 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $269.15 Typical High $478.63 | Professional | TC · Technical part | $165.96 | $269.15 | $478.63 |
22 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 $275.42 Typical High $870.96 | Facility | None | $229.09 | $275.42 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $537.03 | Professional | None (both parts) | $229.09 | $239.88 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | 52 · Reduced service | $114.82 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $45.71 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | CT · Older CT scanner | $194.98 | $194.98 | $204.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $190.55 | Professional | FX · Film X-ray | $181.97 | $181.97 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $575.44 | Professional | None (both parts) | $234.42 | $234.42 | $575.44 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,380.38 Median $2,511.89 Typical High $2,570.40 | Facility | None | $1,380.38 | $2,511.89 | $2,570.40 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,047.13 Typical High $1,230.27 | Facility | None | $676.08 | $1,047.13 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $707.95 | Professional | None (both parts) | $288.40 | $371.54 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $229.09 Typical High $257.04 | Facility | None | $208.93 | $229.09 | $257.04 |
Medcost Setting Professional Modifier None (both parts) Typical Low $263.03 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $263.03 | $446.68 | $616.60 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $190.55 Median $234.42 Typical High $346.74 | Professional | 51 · Multiple procedures | $190.55 | $234.42 | $346.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $79.43 Median $93.33 Typical High $141.25 | Professional | 80 · Assistant surgeon | $79.43 | $93.33 | $141.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $54.95 Median $66.07 Typical High $97.72 | Professional | 81 · Minimal assistant surgeon | $54.95 | $66.07 | $97.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $54.95 Median $66.07 Typical High $97.72 | Professional | 82 · Assistant surgeon, no resident | $54.95 | $66.07 | $97.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $54.95 Median $66.07 Typical High $97.72 | Professional | AS · PA/NP assist | $54.95 | $66.07 | $97.72 |
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 $63.10 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $63.10 | $213.80 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $229.09 | $338.84 | $645.65 |
Where North Carolina sits
The same service costs 4.5 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
$347
AK $794UT $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.