How much rates vary
Facilitymedian $2,399 · 10th to 90th $2,399 to $2,399Professionalmedian $3,020 · 10th to 90th $2,399 to $3,236
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier None (both parts) Typical Low $5,495.41 Median $5,495.41 Typical High $6,760.83 | Professional | None (both parts) | $5,495.41 | $5,495.41 | $6,760.83 |
Medcost Setting Professional Modifier None Typical Low $2,344.23 Median $2,511.89 Typical High $3,715.35 | Professional | None | $2,344.23 | $2,511.89 | $3,715.35 |
Medcost Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $3,019.95 Typical High $3,235.94 | Professional | None (both parts) | $2,398.83 | $3,019.95 | $3,235.94 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,630.78 Median $4,570.88 Typical High $4,897.79 | Professional | 50 · Both sides | $3,630.78 | $4,570.88 | $4,897.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,202.26 Median $1,513.56 Typical High $1,621.81 | Professional | 51 · Multiple procedures | $1,202.26 | $1,513.56 | $1,621.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $478.63 Median $602.56 Typical High $645.65 | Professional | 80 · Assistant surgeon | $478.63 | $602.56 | $645.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $338.84 Median $426.58 Typical High $457.09 | Professional | 81 · Minimal assistant surgeon | $338.84 | $426.58 | $457.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $338.84 Median $426.58 Typical High $457.09 | Professional | 82 · Assistant surgeon, no resident | $338.84 | $426.58 | $457.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $338.84 Median $426.58 Typical High $457.09 | Professional | AS · PA/NP assist | $338.84 | $426.58 | $457.09 |
4 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 26 · Professional part Typical Low $1,174.90 Median $1,288.25 Typical High $1,288.25 | Professional | 26 · Professional part | $1,174.90 | $1,288.25 | $1,288.25 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | SH · Second concurrent infusion | $1,202.26 | $1,202.26 | $1,202.26 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | SJ · Third+ concurrent infusion | $1,202.26 | $1,202.26 | $1,202.26 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,949.84 Typical High $1,949.84 | Professional | TC · Technical part | $1,819.70 | $1,949.84 | $1,949.84 |