How much rates vary
Facilitymedian $24 · 10th to 90th $24 to $24Professionalmedian $32 · 10th to 90th $24 to $81
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 $23.99 Median $23.99 Typical High $23.99 | Facility | None | $23.99 | $23.99 | $23.99 |
Medcost Setting Professional Modifier None (both parts) Typical Low $23.99 Median $31.62 Typical High $81.28 | Professional | None (both parts) | $23.99 | $31.62 | $81.28 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $46.77 | Professional | 26 · Professional part | $9.77 | $12.88 | $46.77 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $47.86 Typical High $151.36 | Professional | 50 · Both sides | $36.31 | $47.86 | $151.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $12.02 Median $15.85 Typical High $50.12 | Professional | 51 · Multiple procedures | $12.02 | $15.85 | $50.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.90 Median $6.31 Typical High $19.95 | Professional | 80 · Assistant surgeon | $4.90 | $6.31 | $19.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.39 Median $4.47 Typical High $14.13 | Professional | 81 · Minimal assistant surgeon | $3.39 | $4.47 | $14.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.39 Median $4.47 Typical High $14.13 | Professional | 82 · Assistant surgeon, no resident | $3.39 | $4.47 | $14.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.39 Median $4.47 Typical High $14.13 | Professional | AS · PA/NP assist | $3.39 | $4.47 | $14.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $19.05 Typical High $70.79 | Professional | TC · Technical part | $14.45 | $19.05 | $70.79 |