How much rates vary
Facilitymedian $19,953 · 10th to 90th $12,589 to $27,542Professionalmedian $19,498 · 10th to 90th $10,471 to $22,387
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 $12,589.25 Median $19,952.62 Typical High $27,542.29 | Facility | None | $12,589.25 | $19,952.62 | $27,542.29 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $19,054.61 Median $29,512.09 Typical High $41,686.94 | Facility | 50 · Both sides | $19,054.61 | $29,512.09 | $41,686.94 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $6,309.57 Median $10,000.00 Typical High $13,803.84 | Facility | 51 · Multiple procedures | $6,309.57 | $10,000.00 | $13,803.84 |
Medcost Setting Professional Modifier None (both parts) Typical Low $10,471.29 Median $19,498.45 Typical High $22,387.21 | Professional | None (both parts) | $10,471.29 | $19,498.45 | $22,387.21 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $15,488.17 Median $29,512.09 Typical High $53,703.18 | Professional | 50 · Both sides | $15,488.17 | $29,512.09 | $53,703.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $5,248.07 Median $9,772.37 Typical High $17,782.79 | Professional | 51 · Multiple procedures | $5,248.07 | $9,772.37 | $17,782.79 |
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 $5,128.61 Median $7,762.47 Typical High $9,549.93 | Professional | 26 · Professional part | $5,128.61 | $7,762.47 | $9,549.93 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2,089.30 Median $3,890.45 Typical High $7,244.36 | Professional | 80 · Assistant surgeon | $2,089.30 | $3,890.45 | $7,244.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1,445.44 Median $2,754.23 Typical High $5,011.87 | Professional | 81 · Minimal assistant surgeon | $1,445.44 | $2,754.23 | $5,011.87 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1,445.44 Median $2,754.23 Typical High $5,011.87 | Professional | 82 · Assistant surgeon, no resident | $1,445.44 | $2,754.23 | $5,011.87 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1,445.44 Median $2,754.23 Typical High $5,011.87 | Professional | AS · PA/NP assist | $1,445.44 | $2,754.23 | $5,011.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $7,585.78 Median $11,748.98 Typical High $14,454.40 | Professional | TC · Technical part | $7,585.78 | $11,748.98 | $14,454.40 |