How much rates vary
Facilitymedian $708 · 10th to 90th $525 to $2,089Professionalmedian $302 · 10th to 90th $224 to $389
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 $524.81 Median $707.95 Typical High $2,089.30 | Facility | None | $524.81 | $707.95 | $2,089.30 |
Medcost Setting Facility Modifier 50 · Both sides Typical Low $776.25 Median $1,047.13 Typical High $3,162.28 | Facility | 50 · Both sides | $776.25 | $1,047.13 | $3,162.28 |
Medcost Setting Facility Modifier 51 · Multiple procedures Typical Low $263.03 Median $346.74 Typical High $1,047.13 | Facility | 51 · Multiple procedures | $263.03 | $346.74 | $1,047.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $389.05 | Professional | None (both parts) | $223.87 | $302.00 | $389.05 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $457.09 Typical High $1,047.13 | Professional | 50 · Both sides | $346.74 | $457.09 | $1,047.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $114.82 Median $151.36 Typical High $346.74 | Professional | 51 · Multiple procedures | $114.82 | $151.36 | $346.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $60.26 Typical High $138.04 | Professional | 80 · Assistant surgeon | $46.77 | $60.26 | $138.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $42.66 Typical High $97.72 | Professional | 81 · Minimal assistant surgeon | $32.36 | $42.66 | $97.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $42.66 Typical High $97.72 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $42.66 | $97.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $42.66 Typical High $97.72 | Professional | AS · PA/NP assist | $32.36 | $42.66 | $97.72 |
Oscar Health Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $3,715.35 | Facility | None | $1,258.93 | $1,258.93 | $3,715.35 |
2 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 $93.33 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $93.33 | $120.23 | $154.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $181.97 Typical High $234.42 | Professional | TC · Technical part | $138.04 | $181.97 | $234.42 |