How much rates vary
Professionalmedian $32 · 10th to 90th $25 to $78
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 |
|---|---|---|---|---|---|
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $41.69 | $77.62 | $77.62 |
Medcost Setting Professional Modifier None (both parts) Typical Low $24.55 Median $32.36 Typical High $57.54 | Professional | None (both parts) | $24.55 | $32.36 | $57.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $28.18 | Professional | 26 · Professional part | $10.00 | $12.88 | $28.18 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $37.15 Median $48.98 Typical High $144.54 | Professional | 50 · Both sides | $37.15 | $48.98 | $144.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $12.30 Median $16.22 Typical High $47.86 | Professional | 51 · Multiple procedures | $12.30 | $16.22 | $47.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.01 Median $6.46 Typical High $19.05 | Professional | 80 · Assistant surgeon | $5.01 | $6.46 | $19.05 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.47 Median $4.57 Typical High $13.49 | Professional | 81 · Minimal assistant surgeon | $3.47 | $4.57 | $13.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.47 Median $4.57 Typical High $13.49 | Professional | 82 · Assistant surgeon, no resident | $3.47 | $4.57 | $13.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.47 Median $4.57 Typical High $13.49 | Professional | AS · PA/NP assist | $3.47 | $4.57 | $13.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.50 Typical High $41.69 | Professional | TC · Technical part | $14.79 | $19.50 | $41.69 |