How much rates vary
Facilitymedian $372 · 10th to 90th $316 to $1,349Professionalmedian $389 · 10th to 90th $295 to $776
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 $87.10 Median $89.13 Typical High $131.83 | Facility | 26 · Professional part | $87.10 | $89.13 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $234.42 Typical High $371.54 | Facility | TC · Technical part | $229.09 | $234.42 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $83.18 | $87.10 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $229.09 | $229.09 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $125.89 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $125.89 | $165.96 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $223.87 Typical High $281.84 | Professional | 26 · Professional part | $151.36 | $223.87 | $281.84 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $501.19 Typical High $707.95 | Professional | TC · Technical part | $416.87 | $501.19 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $251.19 | Professional | 26 · Professional part | $95.50 | $120.23 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $316.23 Typical High $630.96 | Professional | TC · Technical part | $251.19 | $316.23 | $630.96 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $128.82 Typical High $239.88 | Professional | 26 · Professional part | $109.65 | $128.82 | $239.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $363.08 Typical High $467.74 | Professional | TC · Technical part | $269.15 | $363.08 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $239.88 | Professional | 26 · Professional part | $87.10 | $117.49 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $288.40 Typical High $602.56 | Professional | TC · Technical part | $218.78 | $288.40 | $602.56 |
14 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 $316.23 Median $338.84 Typical High $870.96 | Facility | None | $316.23 | $338.84 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $630.96 | Professional | None (both parts) | $309.03 | $323.59 | $630.96 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | CT · Older CT scanner | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | FX · Film X-ray | $251.19 | $251.19 | $251.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $562.34 | Professional | None (both parts) | $223.87 | $302.00 | $562.34 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $2,089.30 | Facility | None | $1,096.48 | $1,318.26 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,348.96 Typical High $1,348.96 | Facility | None | $851.14 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $436.52 Typical High $870.96 | Professional | None (both parts) | $346.74 | $436.52 | $870.96 |
Medcost Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $316.23 Typical High $338.84 | Facility | None | $281.84 | $316.23 | $338.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $346.74 Median $489.78 Typical High $645.65 | Professional | None (both parts) | $346.74 | $489.78 | $645.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $245.47 Median $245.47 Typical High $446.68 | Professional | 51 · Multiple procedures | $245.47 | $245.47 | $446.68 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $275.42 Typical High $549.54 | Professional | None (both parts) | $91.20 | $275.42 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $831.76 | Professional | None (both parts) | $309.03 | $407.38 | $831.76 |
Where North Carolina sits
The same service costs 15.8 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· 25th of 51
$389
VT $3,162UT $200
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.