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Virginia rates for HCPCS 19318

Breast reduction

Facilitymedian $6,918 · 10th–90th $1,514–$20,4170%5%10th90th$6,918Professionalmedian $1,288 · 10th–90th $955–$2,5120%10%10th90th$1,288$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $4,570.88 / $11,220.18
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$5,011.87 / $11,481.54 / $25,118.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $12,302.69 / $17,782.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,122.02 / $2,951.21
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,905.46 / $2,511.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,513.56 / $2,187.76
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,479.11 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $10,471.29 / $21,379.62