How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,585 to $3,311Professionalmedian $2,692 · 10th to 90th $1,778 to $4,074
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,584.89 Median $1,949.84 Typical High $3,311.31 | Facility | None | $1,584.89 | $1,949.84 | $3,311.31 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,691.53 Typical High $4,073.80 | Professional | None (both parts) | $1,778.28 | $2,691.53 | $4,073.80 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,311.31 Median $4,570.88 Typical High $6,025.60 | Professional | 50 · Both sides | $3,311.31 | $4,570.88 | $6,025.60 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,096.48 Median $1,513.56 Typical High $1,995.26 | Professional | 51 · Multiple procedures | $1,096.48 | $1,513.56 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $1,862.09 |
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 $1,000.00 Median $1,202.26 Typical High $1,621.81 | Professional | 26 · Professional part | $1,000.00 | $1,202.26 | $1,621.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $436.52 Median $616.60 Typical High $812.83 | Professional | 80 · Assistant surgeon | $436.52 | $616.60 | $812.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $309.03 Median $426.58 Typical High $562.34 | Professional | 81 · Minimal assistant surgeon | $309.03 | $426.58 | $562.34 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $309.03 Median $426.58 Typical High $562.34 | Professional | 82 · Assistant surgeon, no resident | $309.03 | $426.58 | $562.34 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $309.03 Median $426.58 Typical High $562.34 | Professional | AS · PA/NP assist | $309.03 | $426.58 | $562.34 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,819.70 Typical High $2,398.83 | Professional | TC · Technical part | $1,513.56 | $1,819.70 | $2,398.83 |