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New Jersey rates for HCPCS 55812

Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy)

Facilitymedian $6,761 · 10th–90th $2,692–$11,7490%10%10th90th$6,761Professionalmedian $1,820 · 10th–90th $1,413–$4,0740%10%20%10th90th$1,820$100.0$500.0$2.0K$10.0K

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
$4,365.16 / $6,918.31 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,778.28 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,290.87 / $5,495.41
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,041.74 / $2,691.53
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158.49 / $2,691.53 / $25,703.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,819.70 / $3,981.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $5,248.07 / $10,471.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,659.59 / $3,235.94