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Extensive Removal Of A Tumor From The Abdominal Wall

New York 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?

$5,908

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $5,908 for this procedure. That total is two separate charges: $1,230 to the doctor who performs it, and $4,677 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,230$1,023 to $1,995
Facility feeThe hospital or surgery center$4,677$2,951 to $7,586

How much rates vary

Facilitymedian $4,677 · 10th to 90th $1,445 to $10,965Professionalmedian $1,230 · 10th to 90th $871 to $3,162
$1K$2K$5K$10Kfacility $4,677professional $1,230

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
$1,288.25
Median
$3,981.07
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$3,467.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$2,818.38
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,162.28
Typical High
$12,882.50
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,737.80
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,949.84
Typical High
$5,128.61
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$2,818.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$2,041.74
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,348.96
Typical High
$2,570.40
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,630.78
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$3,630.78
Univera
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$2,818.38
Univera
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,318.26
Typical High
$2,818.38

Where New York 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

New York· 18th of 50

$5,908

$1,230 physician + $4,677 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.