How much rates vary
Facilitymedian $76 · 10th to 90th $76 to $76Professionalmedian $37 · 10th to 90th $37 to $55
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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $54.95 | Professional | None (both parts) | $37.15 | $37.15 | $54.95 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $31.62 | Professional | 26 · Professional part | $14.79 | $14.79 | $31.62 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $56.23 Median $56.23 Typical High $102.33 | Professional | 50 · Both sides | $56.23 | $56.23 | $102.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $18.62 Median $18.62 Typical High $33.88 | Professional | 51 · Multiple procedures | $18.62 | $18.62 | $33.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.41 Median $7.41 Typical High $13.49 | Professional | 80 · Assistant surgeon | $7.41 | $7.41 | $13.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.25 Median $5.25 Typical High $9.55 | Professional | 81 · Minimal assistant surgeon | $5.25 | $5.25 | $9.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.25 Median $5.25 Typical High $9.55 | Professional | 82 · Assistant surgeon, no resident | $5.25 | $5.25 | $9.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.25 Median $5.25 Typical High $9.55 | Professional | AS · PA/NP assist | $5.25 | $5.25 | $9.55 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $47.86 | Professional | TC · Technical part | $22.39 | $22.39 | $47.86 |