go back

Pennsylvania rates for HCPCS 55873

Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)

Facilitymedian $6,166 · 10th–90th $1,072–$9,7720%10%20%10th90th$6,166Professionalmedian $4,074 · 10th–90th $708–$8,3180%10%10th90th$4,074$10.0$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
$1,071.52 / $6,165.95 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $4,265.80 / $8,317.64
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,513.56 / $9,772.37
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $9,772.37
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $6,760.83 / $10,000.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $26,915.35 / $27,542.29
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $4,897.79 / $8,912.51
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $2,089.30 / $8,317.64
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $10,232.93 / $14,791.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $1,949.84 / $5,495.41
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,949.84 / $5,495.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $10,715.19 / $30,199.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,548.82 / $9,549.93