How much rates vary
Facilitymedian $240 · 10th to 90th $155 to $1,413Professionalmedian $891 · 10th to 90th $724 to $912
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 Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $239.88 Typical High $1,412.54 | Facility | None | $154.88 | $239.88 | $1,412.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $724.44 Median $891.25 Typical High $912.01 | Professional | None (both parts) | $724.44 | $891.25 | $912.01 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $363.08 Typical High $537.03 | Professional | 26 · Professional part | $288.40 | $363.08 | $537.03 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,348.96 Typical High $1,698.24 | Professional | 50 · Both sides | $1,096.48 | $1,348.96 | $1,698.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $363.08 Median $446.68 Typical High $575.44 | Professional | 51 · Multiple procedures | $363.08 | $446.68 | $575.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $181.97 Typical High $229.09 | Professional | 80 · Assistant surgeon | $144.54 | $181.97 | $229.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $102.33 Median $125.89 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $102.33 | $125.89 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $102.33 Median $125.89 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $102.33 | $125.89 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $125.89 Typical High $158.49 | Professional | AS · PA/NP assist | $102.33 | $125.89 | $158.49 |
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 $436.52 Median $537.03 Typical High $794.33 | Professional | TC · Technical part | $436.52 | $537.03 | $794.33 |