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Extensive Removal Of A Tumor From The Abdominal Wall

Kentucky rates for HCPCS 22904

This surgery removes a soft-tissue tumor from the abdominal wall using a wide margin of surrounding healthy tissue, an approach used when a growth may be cancerous. It is more extensive than a straightforward removal of a lump, aiming to take the entire tumor out along with nearby tissue to lower the chance it returns. This version is used for a smaller tumor; reconstruction of the abdominal wall may be needed afterward depending on how much tissue is removed.

Rates data updated July 2026.

How much does Extensive Removal Of A Tumor From The Abdominal Wall cost?

$4,485

Typical total for the visit. In Kentucky, July 2026.

Insurers have agreed to pay about $4,485 for this procedure. That total is two separate charges: $1,096 to the doctor who performs it, and $3,388 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,096$955 to $1,230
Facility feeThe hospital or surgery center$3,388$1,122 to $8,511

How much rates vary

Facilitymedian $3,388 · 10th to 90th $708 to $10,715Professionalmedian $1,096 · 10th to 90th $891 to $1,698
$1K$2K$5K$10Kfacility $3,388professional $1,096

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$2,290.87
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$1,548.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,715.19
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,096.48
Typical High
$1,380.38
CareSource
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$1,548.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,737.80
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,778.28
Typical High
$5,128.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$2,137.96
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$2,089.30

Where Kentucky sits

The same service costs 6.4 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Kentucky· 32nd of 50

$4,485

$1,096 physician + $3,388 facility

IN $11,329MD $1,779

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.