How much rates vary
Facilitymedian $117 · 10th to 90th $100 to $646Professionalmedian $105 · 10th to 90th $89 to $263
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 $27.54 Median $28.18 Typical High $45.71 | Facility | 26 · Professional part | $27.54 | $28.18 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $117.49 | Facility | TC · Technical part | $72.44 | $72.44 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $27.54 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $151.36 | Professional | TC · Technical part | $50.12 | $72.44 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $42.66 | Professional | 26 · Professional part | $20.89 | $20.89 | $42.66 |
BCBS North Carolina Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $83.18 | Professional | 26 · Professional part | $44.67 | $66.07 | $83.18 |
BCBS North Carolina Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $70.79 | $93.33 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $79.43 | Professional | 26 · Professional part | $28.84 | $38.02 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $194.98 | Professional | TC · Technical part | $63.10 | $85.11 | $194.98 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $39.81 | $66.07 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $169.82 | Professional | TC · Technical part | $63.10 | $63.10 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $74.13 | Professional | 26 · Professional part | $26.92 | $35.48 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $190.55 | Professional | TC · Technical part | $63.10 | $85.11 | $190.55 |
19 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 $100.00 Median $107.15 Typical High $954.99 | Facility | None | $100.00 | $107.15 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $275.42 | Professional | None (both parts) | $77.62 | $100.00 | $275.42 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | CT · Older CT scanner | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | FX · Film X-ray | $79.43 | $79.43 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $457.09 Typical High $457.09 | Facility | None | $288.40 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $93.33 | $125.89 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $100.00 Typical High $112.20 | Facility | None | $89.13 | $100.00 | $112.20 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $218.78 | Professional | None (both parts) | $95.50 | $102.33 | $218.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $51.29 Median $51.29 Typical High $144.54 | Professional | 51 · Multiple procedures | $51.29 | $51.29 | $144.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.42 Median $20.42 Typical High $57.54 | Professional | 80 · Assistant surgeon | $20.42 | $20.42 | $57.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.45 Median $14.45 Typical High $39.81 | Professional | 81 · Minimal assistant surgeon | $14.45 | $14.45 | $39.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.45 Median $14.45 Typical High $39.81 | Professional | 82 · Assistant surgeon, no resident | $14.45 | $14.45 | $39.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.45 Median $14.45 Typical High $39.81 | Professional | AS · PA/NP assist | $14.45 | $14.45 | $39.81 |
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 $28.84 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $28.84 | $91.20 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $263.03 | Professional | None (both parts) | $93.33 | $120.23 | $263.03 |
Where North Carolina sits
The same service costs 4.2 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· 40th of 51
$105
AK $316UT $75.86
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.