How much rates vary
Facilitymedian $3,890 · 10th to 90th $2,455 to $3,890Professionalmedian $5,623 · 10th to 90th $3,715 to $6,310
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 $3,890.45 | Facility | None | $2,454.71 | $3,890.45 | $3,890.45 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $3,715.35 Median $5,754.40 Typical High $5,754.40 | Facility | 50 · Both sides | $3,715.35 | $5,754.40 | $5,754.40 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $1,230.27 Median $1,905.46 Typical High $1,905.46 | Facility | 51 · Multiple procedures | $1,230.27 | $1,905.46 | $1,905.46 |
Medcost Setting Professional Modifier None (both parts) Typical Low $3,715.35 Median $5,623.41 Typical High $6,309.57 | Professional | None (both parts) | $3,715.35 | $5,623.41 | $6,309.57 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $5,495.41 Median $8,317.64 Typical High $16,982.44 | Professional | 50 · Both sides | $5,495.41 | $8,317.64 | $16,982.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,862.09 Median $2,754.23 Typical High $5,623.41 | Professional | 51 · Multiple procedures | $1,862.09 | $2,754.23 | $5,623.41 |
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 $1,778.28 Median $2,238.72 Typical High $3,019.95 | Professional | 26 · Professional part | $1,778.28 | $2,238.72 | $3,019.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $741.31 Median $1,122.02 Typical High $2,238.72 | Professional | 80 · Assistant surgeon | $741.31 | $1,122.02 | $2,238.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $512.86 Median $776.25 Typical High $1,584.89 | Professional | 81 · Minimal assistant surgeon | $512.86 | $776.25 | $1,584.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $512.86 Median $776.25 Typical High $1,584.89 | Professional | 82 · Assistant surgeon, no resident | $512.86 | $776.25 | $1,584.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $512.86 Median $776.25 Typical High $1,584.89 | Professional | AS · PA/NP assist | $512.86 | $776.25 | $1,584.89 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $2,691.53 Median $3,311.31 Typical High $4,570.88 | Professional | TC · Technical part | $2,691.53 | $3,311.31 | $4,570.88 |