How much rates vary
Professionalmedian $0 · 10th to 90th $0 to $2
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 $0.26 Median $0.26 Typical High $0.55 | Professional | None | $0.26 | $0.26 | $0.55 |
Medcost Setting Professional Modifier None (both parts) Typical Low $0.25 Median $0.26 Typical High $2.00 | Professional | None (both parts) | $0.25 | $0.26 | $2.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $0.10 Median $0.15 Typical High $0.79 | Professional | 26 · Professional part | $0.10 | $0.15 | $0.79 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $0.38 Median $0.50 Typical High $3.02 | Professional | 50 · Both sides | $0.38 | $0.50 | $3.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $0.12 Median $0.16 Typical High $1.00 | Professional | 51 · Multiple procedures | $0.12 | $0.16 | $1.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.05 Median $0.07 Typical High $0.40 | Professional | 80 · Assistant surgeon | $0.05 | $0.07 | $0.40 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.04 Median $0.05 Typical High $0.28 | Professional | 81 · Minimal assistant surgeon | $0.04 | $0.05 | $0.28 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.04 Median $0.05 Typical High $0.28 | Professional | 82 · Assistant surgeon, no resident | $0.04 | $0.05 | $0.28 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.04 Median $0.05 Typical High $0.28 | Professional | AS · PA/NP assist | $0.04 | $0.05 | $0.28 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $0.15 Median $0.23 Typical High $0.60 | Professional | TC · Technical part | $0.15 | $0.23 | $0.60 |