How much rates vary
Facilitymedian $6,761 · 10th to 90th $5,623 to $17,783Professionalmedian $1,549 · 10th to 90th $1,479 to $2,570
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 |
|---|---|---|---|---|---|
BCBS North Carolina Setting Facility Modifier None Typical Low $5,248.07 Median $7,079.46 Typical High $22,387.21 | Facility | None | $5,248.07 | $7,079.46 | $22,387.21 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,089.30 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,089.30 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,884.03 | Professional | None | $2,137.96 | $2,137.96 | $2,884.03 |
Medcost Setting Facility Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Facility | None | $6,760.83 | $6,760.83 | $6,760.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,548.82 Typical High $2,570.40 | Professional | None (both parts) | $1,479.11 | $1,548.82 | $2,570.40 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $616.60 Typical High $1,023.29 | Professional | 26 · Professional part | $602.56 | $616.60 | $1,023.29 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,238.72 Median $2,344.23 Typical High $4,466.84 | Professional | 50 · Both sides | $2,238.72 | $2,344.23 | $4,466.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $758.58 Median $776.25 Typical High $1,479.11 | Professional | 51 · Multiple procedures | $758.58 | $776.25 | $1,479.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $302.00 Median $309.03 Typical High $588.84 | Professional | 80 · Assistant surgeon | $302.00 | $309.03 | $588.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $208.93 Median $218.78 Typical High $416.87 | Professional | 81 · Minimal assistant surgeon | $208.93 | $218.78 | $416.87 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $208.93 Median $218.78 Typical High $416.87 | Professional | 82 · Assistant surgeon, no resident | $208.93 | $218.78 | $416.87 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $208.93 Median $218.78 Typical High $416.87 | Professional | AS · PA/NP assist | $208.93 | $218.78 | $416.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $933.25 Typical High $1,548.82 | Professional | TC · Technical part | $891.25 | $933.25 | $1,548.82 |