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Nationwide rates for HCPCS 39561

Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)

Facilitymedian $6,761 · 10th–90th $1,445–$18,6210%5%10%10th90th$6,761Professionalmedian $1,905 · 10th–90th $1,175–$4,2660%10%20%10th90th$1,905$2.0$20.0$200.0$2.0K$20.0K$200.0K

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
$1,258.93 / $4,570.88 / $11,481.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $12,302.69 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $3,467.37 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $3,090.30 / $9,549.93

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