How much rates vary
Professionalmedian $724 · 10th to 90th $724 to $724
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 |
|---|
10 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 |
|---|---|---|---|---|---|
MountainHealth Co-op Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
MountainHealth Co-op Setting Professional Modifier 22 · Increased work Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 22 · Increased work | $794.33 | $794.33 | $794.33 |
MountainHealth Co-op Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 50 · Both sides | $1,096.48 | $1,096.48 | $1,096.48 |
MountainHealth Co-op Setting Professional Modifier 54 · Surgery only Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 54 · Surgery only | $501.19 | $501.19 | $501.19 |
MountainHealth Co-op Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $72.44 | $72.44 | $72.44 |
MountainHealth Co-op Setting Professional Modifier 62 · Two surgeons Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 62 · Two surgeons | $446.68 | $446.68 | $446.68 |
MountainHealth Co-op Setting Professional Modifier 63 · Small infant Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | 63 · Small infant | $794.33 | $794.33 | $794.33 |
MountainHealth Co-op Setting Professional Modifier 66 · Surgical team Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 66 · Surgical team | $323.59 | $323.59 | $323.59 |
MountainHealth Co-op Setting Professional Modifier 78 · Unplanned return to OR Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $537.03 | $537.03 | $537.03 |
United Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $758.58 | Professional | None | $630.96 | $630.96 | $758.58 |