How much rates vary
Professionalmedian $16 · 10th to 90th $9 to $44
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 $10.00 Median $16.60 Typical High $77.62 | Professional | None (both parts) | $10.00 | $16.60 | $77.62 |
Medcost Setting Professional Modifier None (both parts) Typical Low $9.33 Median $9.33 Typical High $15.85 | Professional | None (both parts) | $9.33 | $9.33 | $15.85 |
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 $5.25 Median $7.76 Typical High $7.76 | Professional | 26 · Professional part | $5.25 | $7.76 | $7.76 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $13.80 Median $13.80 Typical High $23.99 | Professional | 50 · Both sides | $13.80 | $13.80 | $23.99 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $4.57 Median $4.57 Typical High $7.94 | Professional | 51 · Multiple procedures | $4.57 | $4.57 | $7.94 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.86 Median $1.86 Typical High $3.16 | Professional | 80 · Assistant surgeon | $1.86 | $1.86 | $3.16 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.29 Median $1.29 Typical High $2.24 | Professional | 81 · Minimal assistant surgeon | $1.29 | $1.29 | $2.24 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.29 Median $1.29 Typical High $2.24 | Professional | 82 · Assistant surgeon, no resident | $1.29 | $1.29 | $2.24 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.29 Median $1.29 Typical High $2.24 | Professional | AS · PA/NP assist | $1.29 | $1.29 | $2.24 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $11.75 Typical High $11.75 | Professional | TC · Technical part | $7.94 | $11.75 | $11.75 |