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Level 4 Breast/Lymphatic Surgery and Related Procedures

California rates for APC 5094

Level 4 Breast/Lymphatic Surgery and Related Procedures

Rates data updated October 2026.

How much does Level 4 Breast/Lymphatic Surgery and Related Procedures cost?

$30,200

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $30,200 for this service. Most negotiated rates run $22,387 to $44,668.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $30,200 · 10th to 90th $129 to $75,858
$100$1K$10K$100Kfacility $30,200

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$33,884.42
Typical High
$79,432.82
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$42,657.95
Typical High
$100,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$19,952.62
Median
$19,952.62
Typical High
$30,902.95
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$131.83
Typical High
$281.84
Providence
Setting
Facility
Modifier
None
Typical Low
$19,952.62
Median
$19,952.62
Typical High
$30,902.95

Where California sits

The same service costs 281.8 times more in Maine than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 22nd of 40

$30,200

ME $79,433HI $282

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.