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Repair Of A Tear In The Diaphragm

Washington, DC rates for HCPCS 39501

Stitches closed a tear in the diaphragm, the sheet of muscle that separates the chest from the abdomen and drives breathing. Tears usually follow a severe injury such as a car crash, a fall from height, or a stab wound. Repairing the tear stops abdominal organs from pushing up into the chest and crowding the lung.

Rates data updated October 2026.

How much does Repair Of A Tear In The Diaphragm cost?

$977

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $977 for this service. Most negotiated rates run $871 to $1,820.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,413 · 10th to 90th $427 to $6,310Professionalmedian $977 · 10th to 90th $813 to $2,291
$500$1K$2K$5K$10Kfacility $1,413professional $977

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,698.24
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$977.24
Typical High
$2,398.83
CareFirst
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$977.24
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,096.48
Typical High
$2,290.87
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,737.80
Typical High
$1,995.26
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,412.54
Typical High
$6,309.57
United
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,148.15
Typical High
$2,454.71

Where Washington, DC sits

The same service costs 5.4 times more in Alaska than in Utah. 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.

Washington, DC· 37th of 51

$977

AK $3,467UT $646

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.