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Virginia rates for HCPCS 19001

Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure)

Facilitymedian $295 · 10th–90th $24–$5,8880%5%10th90th$295Professionalmedian $26 · 10th–90th $19–$500%10%10th90th$26$10.0$50.0$200.0$1.0K$5.0K

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
$24.55 / $1,348.96 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.12 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $30.20 / $45.71
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $36.31 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $54.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $30.90 / $81.28
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $44.67 / $66.07
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $32.36 / $50.12
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $28.84 / $1,659.59
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $36.31 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $1,047.13 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $30.90 / $50.12