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Wisconsin rates for HCPCS 38530

Biopsy or excision of lymph node(s); open, internal mammary node(s)

Facilitymedian $7,586 · 10th–90th $3,311–$11,7490%10%10th90th$7,586Professionalmedian $1,349 · 10th–90th $692–$2,3990%10%20%10th90th$1,349$500.0$1.0K$2.0K$5.0K$10.0K

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
$524.81 / $1,148.15 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,943.28 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,698.24 / $2,691.53
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $3,090.30 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $5,623.41 / $8,709.64
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $5,754.40 / $7,762.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,348.96 / $2,398.83
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $8,709.64 / $8,709.64
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $7,585.78 / $9,120.11