go back

Pennsylvania rates for HCPCS 19318

Breast reduction

Facilitymedian $7,943 · 10th–90th $1,995–$29,5120%5%10th90th$7,943$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
$1,412.54 / $5,370.32 / $14,454.40
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,025.60 / $9,549.93 / $30,902.95
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,760.83 / $102,329.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $12,302.69 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $17,782.79 / $30,199.52
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,025.60 / $14,125.38 / $32,359.37
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $5,495.41 / $50,118.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,801.89 / $8,511.38
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$7,585.78 / $17,782.79 / $38,018.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $1,202.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $5,754.40 / $21,379.62