Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker (List separately in addition to code for primary procedure)
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $3,715.35 / $10,232.93
Facility
$389.05
$3,715.35
$10,232.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $5,495.41 / $13,489.63
Facility
$2,041.74
$5,495.41
$13,489.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $446.68 / $1,288.25
Facility
$251.19
$446.68
$1,288.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $1,174.90 / $3,630.78
Facility
$295.12
$1,174.90
$3,630.78
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