How much rates vary
Facilitymedian $3,890 · 10th to 90th $3,890 to $5,370Professionalmedian $575 · 10th to 90th $575 to $692
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 $3,890.45 Median $3,890.45 Typical High $5,370.32 | Facility | None | $3,890.45 | $3,890.45 | $5,370.32 |
Medcost Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $691.83 | Professional | None (both parts) | $575.44 | $575.44 | $691.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $407.38 | Professional | 26 · Professional part | $234.42 | $234.42 | $407.38 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $870.96 Typical High $1,318.26 | Professional | 50 · Both sides | $870.96 | $870.96 | $1,318.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $288.40 Typical High $436.52 | Professional | 51 · Multiple procedures | $288.40 | $288.40 | $436.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $114.82 Typical High $173.78 | Professional | 80 · Assistant surgeon | $114.82 | $114.82 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $81.28 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $81.28 | $81.28 | $123.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $81.28 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $81.28 | $123.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $81.28 Typical High $123.03 | Professional | AS · PA/NP assist | $81.28 | $81.28 | $123.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $346.74 | $346.74 | $602.56 |