How much rates vary
Facilitymedian $3,890 · 10th to 90th $2,455 to $7,762Professionalmedian $5,129 · 10th to 90th $2,754 to $5,888
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 $7,762.47 | Facility | None | $2,454.71 | $3,890.45 | $7,762.47 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $3,715.35 Median $5,754.40 Typical High $11,481.54 | Facility | 50 · Both sides | $3,715.35 | $5,754.40 | $11,481.54 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $1,230.27 Median $1,905.46 Typical High $3,890.45 | Facility | 51 · Multiple procedures | $1,230.27 | $1,905.46 | $3,890.45 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $5,128.61 Typical High $5,888.44 | Professional | None (both parts) | $2,754.23 | $5,128.61 | $5,888.44 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $4,073.80 Median $7,585.78 Typical High $13,182.57 | Professional | 50 · Both sides | $4,073.80 | $7,585.78 | $13,182.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,348.96 Median $2,570.40 Typical High $4,466.84 | Professional | 51 · Multiple procedures | $1,348.96 | $2,570.40 | $4,466.84 |
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 $1,318.26 Median $2,041.74 Typical High $2,511.89 | Professional | 26 · Professional part | $1,318.26 | $2,041.74 | $2,511.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $549.54 Median $1,023.29 Typical High $1,778.28 | Professional | 80 · Assistant surgeon | $549.54 | $1,023.29 | $1,778.28 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $380.19 Median $707.95 Typical High $1,230.27 | Professional | 81 · Minimal assistant surgeon | $380.19 | $707.95 | $1,230.27 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $380.19 Median $707.95 Typical High $1,230.27 | Professional | 82 · Assistant surgeon, no resident | $380.19 | $707.95 | $1,230.27 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $380.19 Median $707.95 Typical High $1,230.27 | Professional | AS · PA/NP assist | $380.19 | $707.95 | $1,230.27 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,995.26 Median $3,090.30 Typical High $3,801.89 | Professional | TC · Technical part | $1,995.26 | $3,090.30 | $3,801.89 |