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Open Removal Of Abdominal Growths, 5 To 10 Cm

New York rates for HCPCS 49204

Surgery through an incision in the abdomen to remove or destroy one or more growths, cysts, or patches of endometriosis on the lining of the abdominal cavity, on the tissue that supports the bowel, or in the space behind the abdominal organs. This version applies when the largest growth measures between 5 and 10 centimeters across.

Rates data updated October 2026.

How much does Open Removal Of Abdominal Growths, 5 To 10 Cm cost?

$1,230

Typical physician fee. In New York, October 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $1,230 to $1,230.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,514 to $10,965Professionalmedian $1,230 · 10th to 90th $1,230 to $1,230
$1K$2K$5K$10Kfacility $4,467professional $1,230

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

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$4,466.84
Typical High
$10,964.78
CDPHP
Setting
Professional
Modifier
None
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$2,137.96
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
United
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,584.89
Typical High
$2,290.87

Where New York sits

The same service costs 15.5 times more in Illinois than in New Mexico. 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.

New York· 44th of 45

$1,230

IL $16,982NM $1,096

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.