How much rates vary
Professionalmedian $19 · 10th to 90th $16 to $27
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 Professional Modifier None (both parts) Typical Low $17.38 Median $22.91 Typical High $25.12 | Professional | None (both parts) | $17.38 | $22.91 | $25.12 |
United Setting Professional Modifier None (both parts) Typical Low $15.85 Median $19.50 Typical High $29.51 | Professional | None (both parts) | $15.85 | $19.50 | $29.51 |
8 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 $7.41 Median $9.12 Typical High $11.22 | Professional | 26 · Professional part | $7.41 | $9.12 | $11.22 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $28.18 Median $34.67 Typical High $44.67 | Professional | 50 · Both sides | $28.18 | $34.67 | $44.67 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $9.33 Median $11.48 Typical High $15.14 | Professional | 51 · Multiple procedures | $9.33 | $11.48 | $15.14 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.72 Median $4.57 Typical High $6.03 | Professional | 80 · Assistant surgeon | $3.72 | $4.57 | $6.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.63 Median $3.24 Typical High $4.17 | Professional | 81 · Minimal assistant surgeon | $2.63 | $3.24 | $4.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.63 Median $3.24 Typical High $4.17 | Professional | 82 · Assistant surgeon, no resident | $2.63 | $3.24 | $4.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.63 Median $3.24 Typical High $4.17 | Professional | AS · PA/NP assist | $2.63 | $3.24 | $4.17 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $18.62 Typical High $26.92 | Professional | TC · Technical part | $11.22 | $18.62 | $26.92 |