How much rates vary
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 $95.50 Median $97.72 Typical High $144.54 | Facility | 26 · Professional part | $95.50 | $97.72 | $144.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $263.03 Typical High $478.63 | Facility | TC · Technical part | $257.04 | $263.03 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $89.13 | $95.50 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $257.04 | $257.04 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $147.91 Typical High $181.97 | Professional | 26 · Professional part | $85.11 | $147.91 | $181.97 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $229.09 Typical High $309.03 | Professional | 26 · Professional part | $165.96 | $229.09 | $309.03 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $616.60 Typical High $912.01 | Professional | TC · Technical part | $524.81 | $616.60 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $275.42 | Professional | 26 · Professional part | $104.71 | $131.83 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $380.19 Typical High $724.44 | Professional | TC · Technical part | $295.12 | $380.19 | $724.44 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $239.88 | Professional | 26 · Professional part | $120.23 | $144.54 | $239.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $478.63 Typical High $524.81 | Professional | TC · Technical part | $302.00 | $478.63 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $263.03 | Professional | 26 · Professional part | $95.50 | $131.83 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $363.08 Typical High $691.83 | Professional | TC · Technical part | $251.19 | $363.08 | $691.83 |
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 $354.81 Median $380.19 Typical High $870.96 | Facility | None | $354.81 | $380.19 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $363.08 Typical High $724.44 | Professional | None (both parts) | $354.81 | $363.08 | $724.44 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | CT · Older CT scanner | $295.12 | $295.12 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | FX · Film X-ray | $281.84 | $281.84 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $346.74 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $346.74 | $630.96 | $630.96 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,621.81 Median $2,818.38 Typical High $3,801.89 | Facility | None | $1,621.81 | $2,818.38 | $3,801.89 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,513.56 Typical High $1,513.56 | Facility | None | $954.99 | $1,513.56 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $512.86 Typical High $1,023.29 | Professional | None (both parts) | $407.38 | $512.86 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $354.81 Typical High $380.19 | Facility | None | $316.23 | $354.81 | $380.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $416.87 Median $616.60 Typical High $758.58 | Professional | None (both parts) | $416.87 | $616.60 | $758.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $309.03 Typical High $501.19 | Professional | 51 · Multiple procedures | $288.40 | $309.03 | $501.19 |
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 $100.00 Median $309.03 Typical High $616.60 | Professional | None (both parts) | $100.00 | $309.03 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $354.81 | $489.78 | $954.99 |
Where North Carolina sits
The same service costs 5.1 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
$490
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.