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California rates for HCPCS 11960

Insertion of tissue expander(s) for other than breast, including subsequent expansion

Facilitymedian $6,166 · 10th–90th $2,399–$13,8040%5%10%10th90th$6,166Professionalmedian $1,202 · 10th–90th $891–$2,3440%10%10th90th$1,202$50.0$200.0$1.0K$5.0K$20.0K

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
$2,290.87 / $6,456.54 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $5,011.87 / $9,332.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $1,698.24 / $1,698.24
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $1,148.15 / $1,380.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,230.27 / $2,398.83
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $28,840.32 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,122.02 / $1,621.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $9,772.37 / $20,417.38