How much rates vary
Professionalmedian $98 · 10th to 90th $93 to $166
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 $93.33 Median $97.72 Typical High $165.96 | Professional | None (both parts) | $93.33 | $97.72 | $165.96 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $141.25 Median $144.54 Typical High $316.23 | Professional | 50 · Both sides | $141.25 | $144.54 | $316.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $46.77 Median $48.98 Typical High $104.71 | Professional | 51 · Multiple procedures | $46.77 | $48.98 | $104.71 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $19.50 Typical High $41.69 | Professional | 80 · Assistant surgeon | $19.05 | $19.50 | $41.69 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $13.49 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $13.18 | $13.49 | $29.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $13.49 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $13.49 | $29.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $13.49 Typical High $29.51 | Professional | AS · PA/NP assist | $13.18 | $13.49 | $29.51 |
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 $46.77 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $46.77 | $53.70 | $97.72 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $70.79 | $81.28 | $144.54 |