How much rates vary
Facilitymedian $513 · 10th to 90th $389 to $2,754Professionalmedian $617 · 10th to 90th $372 to $1,023
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 $104.71 Median $104.71 Typical High $158.49 | Facility | 26 · Professional part | $104.71 | $104.71 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $295.12 Typical High $478.63 | Facility | TC · Technical part | $281.84 | $295.12 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $91.20 | $104.71 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $537.03 | Professional | TC · Technical part | $281.84 | $281.84 | $537.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $162.18 Typical High $194.98 | Professional | 26 · Professional part | $104.71 | $162.18 | $194.98 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $257.04 Typical High $316.23 | Professional | 26 · Professional part | $177.83 | $257.04 | $316.23 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $794.33 Typical High $1,202.26 | Professional | TC · Technical part | $645.65 | $794.33 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $144.54 Typical High $302.00 | Professional | 26 · Professional part | $112.20 | $144.54 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $512.86 Typical High $851.14 | Professional | TC · Technical part | $354.81 | $512.86 | $851.14 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $154.88 Typical High $234.42 | Professional | 26 · Professional part | $131.83 | $154.88 | $234.42 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $630.96 Typical High $676.08 | Professional | TC · Technical part | $331.13 | $630.96 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $141.25 Typical High $288.40 | Professional | 26 · Professional part | $102.33 | $141.25 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $478.63 Typical High $812.83 | Professional | TC · Technical part | $275.42 | $478.63 | $812.83 |
19 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 $389.05 Median $426.58 Typical High $954.99 | Facility | None | $389.05 | $426.58 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $741.31 | Professional | None (both parts) | $389.05 | $389.05 | $741.31 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | CT · Older CT scanner | $331.13 | $331.13 | $338.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $309.03 Typical High $316.23 | Professional | FX · Film X-ray | $309.03 | $309.03 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $389.05 | $707.95 | $707.95 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,318.26 Median $2,754.23 Typical High $3,801.89 | Facility | None | $1,318.26 | $2,754.23 | $3,801.89 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,096.48 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $645.65 Typical High $1,148.15 | Professional | None (both parts) | $478.63 | $645.65 | $1,148.15 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $389.05 Typical High $426.58 | Facility | None | $346.74 | $389.05 | $426.58 |
Medcost Setting Professional Modifier None (both parts) Typical Low $467.74 Median $794.33 Typical High $891.25 | Professional | None (both parts) | $467.74 | $794.33 | $891.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $398.11 Typical High $549.54 | Professional | 51 · Multiple procedures | $331.13 | $398.11 | $549.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $158.49 Typical High $223.87 | Professional | 80 · Assistant surgeon | $134.90 | $158.49 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $109.65 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $95.50 | $109.65 | $154.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $109.65 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $109.65 | $154.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $109.65 Typical High $154.88 | Professional | AS · PA/NP assist | $95.50 | $109.65 | $154.88 |
Oscar Health Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $309.03 Typical High $691.83 | Professional | None (both parts) | $107.15 | $309.03 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $602.56 Typical High $1,096.48 | Professional | None (both parts) | $389.05 | $602.56 | $1,096.48 |
Where North Carolina sits
The same service costs 5.0 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· 16th of 51
$617
AK $1,288UT $257
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.