How much rates vary
Facilitymedian $8,318 · 10th to 90th $5,370 to $15,488Professionalmedian $6,310 · 10th to 90th $2,884 to $6,607
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 $5,370.32 Median $8,317.64 Typical High $15,488.17 | Facility | None | $5,370.32 | $8,317.64 | $15,488.17 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $7,943.28 Median $12,302.69 Typical High $23,442.29 | Facility | 50 · Both sides | $7,943.28 | $12,302.69 | $23,442.29 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $2,691.53 Median $4,168.69 Typical High $7,762.47 | Facility | 51 · Multiple procedures | $2,691.53 | $4,168.69 | $7,762.47 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $6,309.57 Typical High $6,606.93 | Professional | None (both parts) | $2,884.03 | $6,309.57 | $6,606.93 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $4,265.80 Median $9,332.54 Typical High $14,454.40 | Professional | 50 · Both sides | $4,265.80 | $9,332.54 | $14,454.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,445.44 Median $3,162.28 Typical High $4,897.79 | Professional | 51 · Multiple procedures | $1,445.44 | $3,162.28 | $4,897.79 |
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 $1,380.38 Median $2,511.89 Typical High $2,884.03 | Professional | 26 · Professional part | $1,380.38 | $2,511.89 | $2,884.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $575.44 Median $1,258.93 Typical High $1,949.84 | Professional | 80 · Assistant surgeon | $575.44 | $1,258.93 | $1,949.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $398.11 Median $870.96 Typical High $1,348.96 | Professional | 81 · Minimal assistant surgeon | $398.11 | $870.96 | $1,348.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $398.11 Median $870.96 Typical High $1,348.96 | Professional | 82 · Assistant surgeon, no resident | $398.11 | $870.96 | $1,348.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $398.11 Median $870.96 Typical High $1,348.96 | Professional | AS · PA/NP assist | $398.11 | $870.96 | $1,348.96 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $3,801.89 Typical High $4,265.80 | Professional | TC · Technical part | $2,089.30 | $3,801.89 | $4,265.80 |