How much rates vary
Facilitymedian $19,953 · 10th to 90th $12,589 to $26,303Professionalmedian $18,197 · 10th to 90th $10,965 to $20,417
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 $26,302.68 | Facility | None | $12,589.25 | $19,952.62 | $26,302.68 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $19,054.61 Median $29,512.09 Typical High $39,810.72 | Facility | 50 · Both sides | $19,054.61 | $29,512.09 | $39,810.72 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $6,309.57 Median $10,000.00 Typical High $13,182.57 | Facility | 51 · Multiple procedures | $6,309.57 | $10,000.00 | $13,182.57 |
Medcost Setting Professional Modifier None (both parts) Typical Low $10,964.78 Median $18,197.01 Typical High $20,417.38 | Professional | None (both parts) | $10,964.78 | $18,197.01 | $20,417.38 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $16,595.87 Median $26,915.35 Typical High $53,703.18 | Professional | 50 · Both sides | $16,595.87 | $26,915.35 | $53,703.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $5,495.41 Median $9,120.11 Typical High $17,782.79 | Professional | 51 · Multiple procedures | $5,495.41 | $9,120.11 | $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 $5,370.32 Median $7,244.36 Typical High $9,772.37 | Professional | 26 · Professional part | $5,370.32 | $7,244.36 | $9,772.37 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2,187.76 Median $3,630.78 Typical High $7,244.36 | Professional | 80 · Assistant surgeon | $2,187.76 | $3,630.78 | $7,244.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1,548.82 Median $2,511.89 Typical High $5,011.87 | Professional | 81 · Minimal assistant surgeon | $1,548.82 | $2,511.89 | $5,011.87 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1,548.82 Median $2,511.89 Typical High $5,011.87 | Professional | 82 · Assistant surgeon, no resident | $1,548.82 | $2,511.89 | $5,011.87 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1,548.82 Median $2,511.89 Typical High $5,011.87 | Professional | AS · PA/NP assist | $1,548.82 | $2,511.89 | $5,011.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $7,943.28 Median $10,715.19 Typical High $14,454.40 | Professional | TC · Technical part | $7,943.28 | $10,715.19 | $14,454.40 |