How much rates vary
Professionalmedian $13 · 10th to 90th $9 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 $9.12 Median $13.18 Typical High $26.92 | Professional | None (both parts) | $9.12 | $13.18 | $26.92 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $13.80 Median $19.50 Typical High $51.29 | Professional | 50 · Both sides | $13.80 | $19.50 | $51.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $4.57 Median $6.46 Typical High $16.98 | Professional | 51 · Multiple procedures | $4.57 | $6.46 | $16.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.82 Median $2.63 Typical High $6.76 | Professional | 80 · Assistant surgeon | $1.82 | $2.63 | $6.76 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.29 Median $1.82 Typical High $4.79 | Professional | 81 · Minimal assistant surgeon | $1.29 | $1.82 | $4.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.29 Median $1.82 Typical High $4.79 | Professional | 82 · Assistant surgeon, no resident | $1.29 | $1.82 | $4.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.29 Median $1.82 Typical High $4.79 | Professional | AS · PA/NP assist | $1.29 | $1.82 | $4.79 |
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 $5.25 Median $5.25 Typical High $15.85 | Professional | 26 · Professional part | $5.25 | $5.25 | $15.85 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $7.94 Typical High $23.99 | Professional | TC · Technical part | $7.76 | $7.94 | $23.99 |