How much rates vary
Facilitymedian $8,318 · 10th to 90th $5,370 to $16,596Professionalmedian $12,023 · 10th to 90th $7,586 to $13,804
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 $16,595.87 | Facility | None | $5,370.32 | $8,317.64 | $16,595.87 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $7,943.28 Median $12,302.69 Typical High $25,118.86 | Facility | 50 · Both sides | $7,943.28 | $12,302.69 | $25,118.86 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $2,691.53 Median $4,168.69 Typical High $8,317.64 | Facility | 51 · Multiple procedures | $2,691.53 | $4,168.69 | $8,317.64 |
Medcost Setting Professional Modifier None (both parts) Typical Low $7,585.78 Median $12,022.64 Typical High $13,803.84 | Professional | None (both parts) | $7,585.78 | $12,022.64 | $13,803.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $11,481.54 Median $18,197.01 Typical High $38,018.94 | Professional | 50 · Both sides | $11,481.54 | $18,197.01 | $38,018.94 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $3,801.89 Median $6,025.60 Typical High $12,589.25 | Professional | 51 · Multiple procedures | $3,801.89 | $6,025.60 | $12,589.25 |
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 $3,715.35 Median $4,786.30 Typical High $6,606.93 | Professional | 26 · Professional part | $3,715.35 | $4,786.30 | $6,606.93 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,513.56 Median $2,398.83 Typical High $5,128.61 | Professional | 80 · Assistant surgeon | $1,513.56 | $2,398.83 | $5,128.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1,071.52 Median $1,698.24 Typical High $3,548.13 | Professional | 81 · Minimal assistant surgeon | $1,071.52 | $1,698.24 | $3,548.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1,071.52 Median $1,698.24 Typical High $3,548.13 | Professional | 82 · Assistant surgeon, no resident | $1,071.52 | $1,698.24 | $3,548.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1,071.52 Median $1,698.24 Typical High $3,548.13 | Professional | AS · PA/NP assist | $1,071.52 | $1,698.24 | $3,548.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $5,495.41 Median $7,244.36 Typical High $10,000.00 | Professional | TC · Technical part | $5,495.41 | $7,244.36 | $10,000.00 |