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Nationwide rates for HCPCS 0686T

Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image guidance

Facilitymedian $5,248 · 10th–90th $2,042–$15,8490%10%20%10th90th$5,248Professionalmedian $3,715 · 10th–90th $1,995–$5,4950%50%10th90th$3,715$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $5,128.61 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,715.35 / $4,365.16
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $5,370.32 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,445.44 / $2,818.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $6,606.93 / $16,595.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $17,378.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $20,892.96 / $47,863.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,265.80 / $7,244.36

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