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Nationwide rates for HCPCS 55831

Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy); retropubic, subtotal

Facilitymedian $6,026 · 10th–90th $1,230–$14,7910%5%10%10th90th$6,026Professionalmedian $1,259 · 10th–90th $776–$2,6920%10%10th90th$1,259$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$1,096.48 / $4,570.88 / $11,481.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $9,332.54 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,691.53 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $3,090.30 / $9,549.93

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