How much rates vary
Facilitymedian $1,862 · 10th to 90th $589 to $6,026Professionalmedian $933 · 10th to 90th $676 to $1,318
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 $588.84 Median $1,862.09 Typical High $6,025.60 | Facility | None | $588.84 | $1,862.09 | $6,025.60 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $891.25 Median $2,818.38 Typical High $9,120.11 | Facility | 50 · Both sides | $891.25 | $2,818.38 | $9,120.11 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $295.12 Median $933.25 Typical High $3,019.95 | Facility | 51 · Multiple procedures | $295.12 | $933.25 | $3,019.95 |
Medcost Setting Professional Modifier None (both parts) Typical Low $676.08 Median $933.25 Typical High $1,318.26 | Professional | None (both parts) | $676.08 | $933.25 | $1,318.26 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,412.54 Typical High $2,691.53 | Professional | 50 · Both sides | $1,000.00 | $1,412.54 | $2,691.53 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $467.74 Typical High $912.01 | Professional | 51 · Multiple procedures | $331.13 | $467.74 | $912.01 |
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 $281.84 Median $380.19 Typical High $478.63 | Professional | 26 · Professional part | $281.84 | $380.19 | $478.63 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $190.55 Typical High $363.08 | Professional | 80 · Assistant surgeon | $134.90 | $190.55 | $363.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $131.83 Typical High $251.19 | Professional | 81 · Minimal assistant surgeon | $93.33 | $131.83 | $251.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $131.83 Typical High $251.19 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $131.83 | $251.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $131.83 Typical High $251.19 | Professional | AS · PA/NP assist | $93.33 | $131.83 | $251.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $562.34 Typical High $724.44 | Professional | TC · Technical part | $426.58 | $562.34 | $724.44 |