How much rates vary
Professionalmedian $148 · 10th to 90th $120 to $355
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 |
|---|---|---|---|---|---|
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $120.23 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $120.23 | $190.55 | $354.81 |
Medcost Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $239.88 | Professional | None (both parts) | $141.25 | $141.25 | $239.88 |
9 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 |
|---|---|---|---|---|---|
BCBS North Carolina Setting Professional Modifier QW · Waived lab test Typical Low $169.82 Median $181.97 Typical High $181.97 | Professional | QW · Waived lab test | $169.82 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $57.54 | $57.54 | $97.72 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $213.80 Median $213.80 Typical High $407.38 | Professional | 50 · Both sides | $213.80 | $213.80 | $407.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $70.79 Typical High $138.04 | Professional | 51 · Multiple procedures | $70.79 | $70.79 | $138.04 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.84 Median $28.84 Typical High $54.95 | Professional | 80 · Assistant surgeon | $28.84 | $28.84 | $54.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.95 Median $19.95 Typical High $38.02 | Professional | 81 · Minimal assistant surgeon | $19.95 | $19.95 | $38.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.95 Median $19.95 Typical High $38.02 | Professional | 82 · Assistant surgeon, no resident | $19.95 | $19.95 | $38.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.95 Median $19.95 Typical High $38.02 | Professional | AS · PA/NP assist | $19.95 | $19.95 | $38.02 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $229.09 | Professional | TC · Technical part | $131.83 | $131.83 | $229.09 |