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California rates for HCPCS 19318

Breast reduction

Facilitymedian $10,715 · 10th–90th $3,715–$20,8930%10%10th90th$10,715Professionalmedian $1,230 · 10th–90th $977–$2,5700%20%40%10th90th$1,230$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$2,951.21 / $9,549.93 / $20,892.96
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,888.44 / $14,454.40 / $37,153.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $11,481.54 / $17,782.79
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $7,079.46 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $3,981.07
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,202.26 / $1,513.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,230.27 / $3,019.95
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,445.44 / $2,454.71
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $8,128.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $12,022.64 / $25,118.86