How much rates vary
Facilitymedian $8,318 · 10th to 90th $5,370 to $8,318Professionalmedian $1,995 · 10th to 90th $977 to $2,239
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 $8,317.64 | Facility | None | $5,370.32 | $8,317.64 | $8,317.64 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $7,943.28 Median $12,302.69 Typical High $12,302.69 | Facility | 50 · Both sides | $7,943.28 | $12,302.69 | $12,302.69 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $2,691.53 Median $4,168.69 Typical High $4,168.69 | Facility | 51 · Multiple procedures | $2,691.53 | $4,168.69 | $4,168.69 |
Medcost Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,995.26 Typical High $2,238.72 | Professional | None (both parts) | $977.24 | $1,995.26 | $2,238.72 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $3,019.95 Typical High $4,677.35 | Professional | 50 · Both sides | $1,445.44 | $3,019.95 | $4,677.35 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $489.78 Median $1,000.00 Typical High $1,584.89 | Professional | 51 · Multiple procedures | $489.78 | $1,000.00 | $1,584.89 |
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 $467.74 Median $794.33 Typical High $933.25 | Professional | 26 · Professional part | $467.74 | $794.33 | $933.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $398.11 Typical High $630.96 | Professional | 80 · Assistant surgeon | $194.98 | $398.11 | $630.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $134.90 Median $281.84 Typical High $436.52 | Professional | 81 · Minimal assistant surgeon | $134.90 | $281.84 | $436.52 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $134.90 Median $281.84 Typical High $436.52 | Professional | 82 · Assistant surgeon, no resident | $134.90 | $281.84 | $436.52 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $281.84 Typical High $436.52 | Professional | AS · PA/NP assist | $134.90 | $281.84 | $436.52 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,202.26 Typical High $1,412.54 | Professional | TC · Technical part | $707.95 | $1,202.26 | $1,412.54 |