How much rates vary
Facilitymedian $240 · 10th to 90th $155 to $2,138Professionalmedian $912 · 10th to 90th $676 to $1,047
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 Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,202.26 | Professional | None | $1,096.48 | $1,096.48 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $239.88 Typical High $2,137.96 | Facility | None | $154.88 | $239.88 | $2,137.96 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $234.42 Median $363.08 Typical High $3,235.94 | Facility | 50 · Both sides | $234.42 | $363.08 | $3,235.94 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $77.62 Median $120.23 Typical High $1,071.52 | Facility | 51 · Multiple procedures | $77.62 | $120.23 | $1,071.52 |
Medcost Setting Professional Modifier None (both parts) Typical Low $676.08 Median $912.01 Typical High $1,023.29 | Professional | None (both parts) | $676.08 | $912.01 | $1,023.29 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $371.54 Typical High $407.38 | Professional | 26 · Professional part | $269.15 | $371.54 | $407.38 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,023.29 Median $1,380.38 Typical High $1,905.46 | Professional | 50 · Both sides | $1,023.29 | $1,380.38 | $1,905.46 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $338.84 Median $457.09 Typical High $630.96 | Professional | 51 · Multiple procedures | $338.84 | $457.09 | $630.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $181.97 Typical High $257.04 | Professional | 80 · Assistant surgeon | $134.90 | $181.97 | $257.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $128.82 Typical High $177.83 | Professional | 81 · Minimal assistant surgeon | $95.50 | $128.82 | $177.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $128.82 Typical High $177.83 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $128.82 | $177.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $128.82 Typical High $177.83 | Professional | AS · PA/NP assist | $95.50 | $128.82 | $177.83 |
1 more rate 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 TC · Technical part Typical Low $407.38 Median $549.54 Typical High $616.60 | Professional | TC · Technical part | $407.38 | $549.54 | $616.60 |