How much rates vary
Facilitymedian $1,202 · 10th to 90th $741 to $3,631Professionalmedian $617 · 10th to 90th $550 to $776
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 $741.31 Median $1,202.26 Typical High $3,630.78 | Facility | None | $741.31 | $1,202.26 | $3,630.78 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $1,096.48 Median $1,819.70 Typical High $5,495.41 | Facility | 50 · Both sides | $1,096.48 | $1,819.70 | $5,495.41 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $363.08 Median $602.56 Typical High $1,819.70 | Facility | 51 · Multiple procedures | $363.08 | $602.56 | $1,819.70 |
Medcost Setting Professional Modifier None (both parts) Typical Low $549.54 Median $616.60 Typical High $776.25 | Professional | None (both parts) | $549.54 | $616.60 | $776.25 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $251.19 Typical High $309.03 | Professional | 26 · Professional part | $223.87 | $251.19 | $309.03 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $933.25 Typical High $2,041.74 | Professional | 50 · Both sides | $870.96 | $933.25 | $2,041.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $295.12 Median $309.03 Typical High $676.08 | Professional | 51 · Multiple procedures | $295.12 | $309.03 | $676.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $125.89 Typical High $269.15 | Professional | 80 · Assistant surgeon | $117.49 | $125.89 | $269.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $87.10 Typical High $190.55 | Professional | 81 · Minimal assistant surgeon | $81.28 | $87.10 | $190.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $87.10 Typical High $190.55 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $87.10 | $190.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $87.10 Typical High $190.55 | Professional | AS · PA/NP assist | $81.28 | $87.10 | $190.55 |
1 more rate 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 TC · Technical part Typical Low $331.13 Median $371.54 Typical High $467.74 | Professional | TC · Technical part | $331.13 | $371.54 | $467.74 |