How much rates vary
Facilitymedian $3,890 · 10th to 90th $2,455 to $5,370Professionalmedian $4,266 · 10th to 90th $2,344 to $4,898
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 Facility Modifier None Typical Low $2,454.71 Median $3,890.45 Typical High $5,370.32 | Facility | None | $2,454.71 | $3,890.45 | $5,370.32 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $3,715.35 Median $5,754.40 Typical High $8,128.31 | Facility | 50 · Both sides | $3,715.35 | $5,754.40 | $8,128.31 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $1,230.27 Median $1,905.46 Typical High $2,691.53 | Facility | 51 · Multiple procedures | $1,230.27 | $1,905.46 | $2,691.53 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $4,265.80 Typical High $4,897.79 | Professional | None (both parts) | $2,344.23 | $4,265.80 | $4,897.79 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,467.37 Median $6,309.57 Typical High $11,220.18 | Professional | 50 · Both sides | $3,467.37 | $6,309.57 | $11,220.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,174.90 Median $2,137.96 Typical High $3,715.35 | Professional | 51 · Multiple procedures | $1,174.90 | $2,137.96 | $3,715.35 |
6 more rates 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 26 · Professional part Typical Low $1,122.02 Median $1,698.24 Typical High $2,187.76 | Professional | 26 · Professional part | $1,122.02 | $1,698.24 | $2,187.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $467.74 Median $851.14 Typical High $1,513.56 | Professional | 80 · Assistant surgeon | $467.74 | $851.14 | $1,513.56 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $323.59 Median $588.84 Typical High $1,047.13 | Professional | 81 · Minimal assistant surgeon | $323.59 | $588.84 | $1,047.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $323.59 Median $588.84 Typical High $1,047.13 | Professional | 82 · Assistant surgeon, no resident | $323.59 | $588.84 | $1,047.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $323.59 Median $588.84 Typical High $1,047.13 | Professional | AS · PA/NP assist | $323.59 | $588.84 | $1,047.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $2,570.40 Typical High $3,311.31 | Professional | TC · Technical part | $1,698.24 | $2,570.40 | $3,311.31 |