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California rates for HCPCS 49540

Repair lumbar hernia

Facilitymedian $5,888 · 10th–90th $1,318$13,8040%5%10%10th90th$5,888Professionalmedian $708 · 10th–90th $537$1,5140%20%10th90th$708$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
$2,398.83 / $6,456.54 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $13,803.84
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $5,011.87 / $10,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $3,388.44 / $7,079.46
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $707.95 / $954.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $707.95 / $1,513.56
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $28,840.32 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $870.96 / $1,348.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $9,549.93 / $19,952.62