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California rates for HCPCS 43497

Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM])

Facilitymedian $8,511 · 10th–90th $2,291–$16,5960%10%10th90th$8,511Professionalmedian $813 · 10th–90th $676–$1,6980%20%10th90th$813$50.0$200.0$1.0K$5.0K$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
$2,344.23 / $6,309.57 / $16,595.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $10,471.29 / $17,782.79
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $3,630.78 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $724.44 / $1,023.29
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $812.83 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $812.83 / $1,778.28
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $15,848.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $933.25 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $7,079.46 / $15,135.61