How much rates vary
Facilitymedian $2,512 · 10th to 90th $2,512 to $4,898Professionalmedian $79 · 10th to 90th $56 to $219
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 |
|---|---|---|---|---|---|
Medcost Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $4,897.79 | Facility | None | $2,511.89 | $2,511.89 | $4,897.79 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $3,715.35 Median $3,715.35 Typical High $7,413.10 | Facility | 50 · Both sides | $3,715.35 | $3,715.35 | $7,413.10 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $1,230.27 Median $1,230.27 Typical High $2,454.71 | Facility | 51 · Multiple procedures | $1,230.27 | $1,230.27 | $2,454.71 |
Medcost Setting Professional Modifier None (both parts) Typical Low $56.23 Median $79.43 Typical High $218.78 | Professional | None (both parts) | $56.23 | $79.43 | $218.78 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $83.18 Median $120.23 Typical High $602.56 | Professional | 50 · Both sides | $83.18 | $120.23 | $602.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $27.54 Median $39.81 Typical High $199.53 | Professional | 51 · Multiple procedures | $27.54 | $39.81 | $199.53 |
6 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $87.10 | Professional | 26 · Professional part | $26.92 | $31.62 | $87.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.22 Median $15.85 Typical High $79.43 | Professional | 80 · Assistant surgeon | $11.22 | $15.85 | $79.43 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.76 Median $11.22 Typical High $56.23 | Professional | 81 · Minimal assistant surgeon | $7.76 | $11.22 | $56.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.76 Median $11.22 Typical High $56.23 | Professional | 82 · Assistant surgeon, no resident | $7.76 | $11.22 | $56.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.76 Median $11.22 Typical High $56.23 | Professional | AS · PA/NP assist | $7.76 | $11.22 | $56.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $131.83 | Professional | TC · Technical part | $40.74 | $47.86 | $131.83 |