How much rates vary
Facilitymedian $6,457 · 10th to 90th $4,365 to $23,442Professionalmedian $589 · 10th to 90th $407 to $589
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 |
|---|---|---|---|---|---|
Medcost Setting Facility Modifier None Typical Low $4,365.16 Median $6,456.54 Typical High $23,442.29 | Facility | None | $4,365.16 | $6,456.54 | $23,442.29 |
Medcost Setting Professional Modifier None (both parts) Typical Low $407.38 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $407.38 | $588.84 | $588.84 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $199.53 | $234.42 | $234.42 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $616.60 Median $870.96 Typical High $870.96 | Professional | 50 · Both sides | $616.60 | $870.96 | $870.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $204.17 Median $295.12 Typical High $295.12 | Professional | 51 · Multiple procedures | $204.17 | $295.12 | $295.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $81.28 Median $117.49 Typical High $117.49 | Professional | 80 · Assistant surgeon | $81.28 | $117.49 | $117.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $81.28 Typical High $81.28 | Professional | 81 · Minimal assistant surgeon | $57.54 | $81.28 | $81.28 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $81.28 Typical High $81.28 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $81.28 | $81.28 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $81.28 Typical High $81.28 | Professional | AS · PA/NP assist | $57.54 | $81.28 | $81.28 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $295.12 | $346.74 | $346.74 |