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Washington rates for HCPCS 28104

Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus;

Facilitymedian $1,023 · 10th–90th $457–$10,2330%5%10th90th$1,023$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$676.08 / $3,019.95 / $15,135.61
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $8,709.64 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $758.58 / $4,466.84
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $758.58 / $2,884.03
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,023.29 / $1,047.13
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $724.44 / $977.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $8,912.51 / $17,378.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $10,232.93 / $18,620.87