How much rates vary
Professionalmedian $5 · 10th to 90th $5 to $11
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 Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
Medcost Setting Professional Modifier None (both parts) Typical Low $4.79 Median $5.01 Typical High $11.48 | Professional | None (both parts) | $4.79 | $5.01 | $11.48 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $1.91 Median $2.00 Typical High $2.40 | Professional | 26 · Professional part | $1.91 | $2.00 | $2.40 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $7.24 Median $7.59 Typical High $8.91 | Professional | 50 · Both sides | $7.24 | $7.59 | $8.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.40 Median $2.51 Typical High $3.02 | Professional | 51 · Multiple procedures | $2.40 | $2.51 | $3.02 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.95 Median $1.00 Typical High $1.20 | Professional | 80 · Assistant surgeon | $0.95 | $1.00 | $1.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.68 Median $0.71 Typical High $0.83 | Professional | 81 · Minimal assistant surgeon | $0.68 | $0.71 | $0.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.68 Median $0.71 Typical High $0.83 | Professional | 82 · Assistant surgeon, no resident | $0.68 | $0.71 | $0.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.68 Median $0.71 Typical High $0.83 | Professional | AS · PA/NP assist | $0.68 | $0.71 | $0.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $3.02 Typical High $3.63 | Professional | TC · Technical part | $2.88 | $3.02 | $3.63 |
United Setting Professional Modifier None (both parts) Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None (both parts) | $7.94 | $7.94 | $7.94 |