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Extensive Removal Of A Tumor From The Abdominal Wall

North Carolina 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?

$4,438

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $4,438 for this procedure. That total is two separate charges: $1,202 to the doctor who performs it, and $3,236 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$1,202$1,023 to $2,042
Facility feeThe hospital or surgery center$3,236$1,585 to $4,169

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,023 to $7,244Professionalmedian $1,202 · 10th to 90th $1,000 to $3,020
$1K$2K$5Kfacility $3,236professional $1,202

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
$1,023.29
Median
$3,890.45
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,202.26
Typical High
$3,388.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,513.56
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,621.81
Typical High
$2,691.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,230.27
Typical High
$1,905.46
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,548.13
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$2,398.83
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$7,079.46
Typical High
$7,079.46
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$8,912.51
Typical High
$8,912.51

Where North Carolina 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

North Carolina· 33rd of 50

$4,438

$1,202 physician + $3,236 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.