How much rates vary
Facilitymedian $380 · 10th to 90th $257 to $1,995Professionalmedian $537 · 10th to 90th $257 to $891
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 $85.11 Median $89.13 Typical High $144.54 | Facility | 26 · Professional part | $85.11 | $89.13 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $501.19 | Facility | TC · Technical part | $169.82 | $190.55 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $85.11 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $467.74 | Professional | TC · Technical part | $169.82 | $181.97 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $131.83 Typical High $162.18 | Professional | 26 · Professional part | $114.82 | $131.83 | $162.18 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $208.93 Typical High $281.84 | Professional | 26 · Professional part | $151.36 | $208.93 | $281.84 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $645.65 Typical High $870.96 | Professional | TC · Technical part | $436.52 | $645.65 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $245.47 | Professional | 26 · Professional part | $87.10 | $117.49 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $478.63 Typical High $776.25 | Professional | TC · Technical part | $275.42 | $478.63 | $776.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $154.88 Typical High $239.88 | Professional | 26 · Professional part | $107.15 | $154.88 | $239.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $467.74 Typical High $549.54 | Professional | TC · Technical part | $204.17 | $467.74 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $109.65 Typical High $245.47 | Professional | 26 · Professional part | $87.10 | $109.65 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $398.11 Typical High $645.65 | Professional | TC · Technical part | $218.78 | $398.11 | $645.65 |
20 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 $302.00 Typical High $954.99 | Facility | None | $257.04 | $302.00 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $275.42 Typical High $691.83 | Professional | None (both parts) | $257.04 | $275.42 | $691.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $128.82 Typical High $158.49 | Professional | 52 · Reduced service | $128.82 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $63.10 | Professional | 53 · Discontinued | $51.29 | $51.29 | $63.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $218.78 Median $218.78 Typical High $234.42 | Professional | CT · Older CT scanner | $218.78 | $218.78 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $223.87 | Professional | FX · Film X-ray | $204.17 | $204.17 | $223.87 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $2,454.71 | Facility | None | $1,819.70 | $2,398.83 | $2,454.71 |
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 $870.96 Median $1,380.38 Typical High $2,089.30 | Facility | None | $870.96 | $1,380.38 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $575.44 Typical High $954.99 | Professional | None (both parts) | $398.11 | $575.44 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $295.12 | Facility | None | $229.09 | $257.04 | $295.12 |
Medcost Setting Professional Modifier None (both parts) Typical Low $295.12 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $295.12 | $616.60 | $870.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $229.09 Median $371.54 Typical High $436.52 | Professional | 51 · Multiple procedures | $229.09 | $371.54 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $147.91 Typical High $173.78 | Professional | 80 · Assistant surgeon | $93.33 | $147.91 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $64.57 Median $104.71 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $64.57 | $104.71 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $64.57 Median $104.71 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $64.57 | $104.71 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $104.71 Typical High $120.23 | Professional | AS · PA/NP assist | $64.57 | $104.71 | $120.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $91.20 | $281.84 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $524.81 Typical High $891.25 | Professional | None (both parts) | $309.03 | $524.81 | $891.25 |
Where North Carolina sits
The same service costs 6.0 times more in Alaska than in Texas. 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· 14th of 51
$537
AK $1,023TX $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.