How much rates vary
Facilitymedian $646 · 10th to 90th $288 to $2,138Professionalmedian $589 · 10th to 90th $288 to $1,230
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier 26 · Professional part Typical Low $104.71 Median $117.49 Typical High $125.89 | Professional | 26 · Professional part | $104.71 | $117.49 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $169.82 | $169.82 | $218.78 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $275.42 Typical High $363.08 | Professional | 26 · Professional part | $199.53 | $275.42 | $363.08 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $602.56 Typical High $812.83 | Professional | TC · Technical part | $380.19 | $602.56 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $158.49 Typical High $346.74 | Professional | 26 · Professional part | $123.03 | $158.49 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $457.09 Typical High $1,096.48 | Professional | TC · Technical part | $346.74 | $457.09 | $1,096.48 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $173.78 Typical High $281.84 | Professional | 26 · Professional part | $147.91 | $173.78 | $281.84 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $407.38 Typical High $426.58 | Professional | TC · Technical part | $204.17 | $407.38 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $323.59 | Professional | 26 · Professional part | $117.49 | $154.88 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $467.74 Typical High $1,000.00 | Professional | TC · Technical part | $338.84 | $467.74 | $1,000.00 |
16 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 $288.40 Median $288.40 Typical High $1,584.89 | Facility | None | $288.40 | $288.40 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $288.40 | $288.40 | $371.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $245.47 Median $245.47 Typical High $251.19 | Professional | CT · Older CT scanner | $245.47 | $245.47 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | FX · Film X-ray | $229.09 | $229.09 | $234.42 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $1,348.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $630.96 Typical High $1,412.54 | Professional | None (both parts) | $478.63 | $630.96 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $288.40 Typical High $331.13 | Facility | None | $257.04 | $288.40 | $331.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $331.13 Median $588.84 Typical High $707.95 | Professional | None (both parts) | $331.13 | $588.84 | $707.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $257.04 Median $295.12 Typical High $426.58 | Professional | 51 · Multiple procedures | $257.04 | $295.12 | $426.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $102.33 Median $117.49 Typical High $169.82 | Professional | 80 · Assistant surgeon | $102.33 | $117.49 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $72.44 Median $81.28 Typical High $120.23 | Professional | 81 · Minimal assistant surgeon | $72.44 | $81.28 | $120.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $72.44 Median $81.28 Typical High $120.23 | Professional | 82 · Assistant surgeon, no resident | $72.44 | $81.28 | $120.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $72.44 Median $81.28 Typical High $120.23 | Professional | AS · PA/NP assist | $72.44 | $81.28 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $616.60 Typical High $1,318.26 | Professional | None (both parts) | $467.74 | $616.60 | $1,318.26 |
Where North Carolina sits
The same service costs 8.1 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· 16th of 51
$589
AK $1,349UT $166
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.