How much rates vary
Facilitymedian $48 · 10th to 90th $48 to $48Professionalmedian $7 · 10th to 90th $4 to $33
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 Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $8.13 | Professional | None | $2.04 | $2.04 | $8.13 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $4.37 Median $7.08 Typical High $33.88 | Professional | None (both parts) | $4.37 | $7.08 | $33.88 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $1.74 Median $2.82 Typical High $15.49 | Professional | 26 · Professional part | $1.74 | $2.82 | $15.49 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $6.46 Median $10.47 Typical High $50.12 | Professional | 50 · Both sides | $6.46 | $10.47 | $50.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.19 Median $3.47 Typical High $16.60 | Professional | 51 · Multiple procedures | $2.19 | $3.47 | $16.60 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.87 Median $1.41 Typical High $6.61 | Professional | 80 · Assistant surgeon | $0.87 | $1.41 | $6.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.62 Median $0.98 Typical High $4.68 | Professional | 81 · Minimal assistant surgeon | $0.62 | $0.98 | $4.68 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.62 Median $0.98 Typical High $4.68 | Professional | 82 · Assistant surgeon, no resident | $0.62 | $0.98 | $4.68 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.62 Median $0.98 Typical High $4.68 | Professional | AS · PA/NP assist | $0.62 | $0.98 | $4.68 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $4.17 Typical High $23.44 | Professional | TC · Technical part | $2.57 | $4.17 | $23.44 |