How much rates vary
Facilitymedian $251 · 10th to 90th $186 to $1,259Professionalmedian $251 · 10th to 90th $186 to $490
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 $83.18 Median $85.11 Typical High $125.89 | Facility | 26 · Professional part | $83.18 | $85.11 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $199.53 | Facility | TC · Technical part | $102.33 | $112.20 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $81.28 | $83.18 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $117.49 Typical High $223.87 | Professional | TC · Technical part | $102.33 | $117.49 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $104.71 Typical High $154.88 | Professional | 26 · Professional part | $61.66 | $104.71 | $154.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $66.07 | $77.62 | $134.90 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $204.17 Typical High $269.15 | Professional | 26 · Professional part | $144.54 | $204.17 | $269.15 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $371.54 | Professional | TC · Technical part | $213.80 | $263.03 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $239.88 | Professional | 26 · Professional part | $89.13 | $112.20 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $309.03 | Professional | TC · Technical part | $128.82 | $154.88 | $309.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $123.03 Typical High $208.93 | Professional | 26 · Professional part | $104.71 | $123.03 | $208.93 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $125.89 | $190.55 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $229.09 | Professional | 26 · Professional part | $83.18 | $112.20 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $151.36 Typical High $295.12 | Professional | TC · Technical part | $107.15 | $151.36 | $295.12 |
15 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 $186.21 Median $218.78 Typical High $870.96 | Facility | None | $186.21 | $218.78 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $436.52 | Professional | None (both parts) | $186.21 | $199.53 | $436.52 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $158.49 Median $158.49 Typical High $169.82 | Professional | CT · Older CT scanner | $158.49 | $158.49 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | FX · Film X-ray | $147.91 | $147.91 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $138.04 | $346.74 | $467.74 |
BCBS North Carolina Setting Facility Modifier None Typical Low $758.58 Median $1,258.93 Typical High $1,737.80 | Facility | None | $758.58 | $1,258.93 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $630.96 Typical High $630.96 | Facility | None | $407.38 | $630.96 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $549.54 | Professional | None (both parts) | $223.87 | $269.15 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $186.21 Typical High $204.17 | Facility | None | $165.96 | $186.21 | $204.17 |
Medcost Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $407.38 | Professional | None (both parts) | $229.09 | $316.23 | $407.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $158.49 Typical High $275.42 | Professional | 51 · Multiple procedures | $125.89 | $158.49 | $275.42 |
Oscar Health Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $87.10 | $169.82 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $263.03 Typical High $537.03 | Professional | None (both parts) | $190.55 | $263.03 | $537.03 |
Where North Carolina sits
The same service costs 18.2 times more in Vermont 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· 28th of 51
$251
VT $1,995UT $110
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.