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Nationwide rates for HCPCS C9760

Nonrandomized, nonblinded procedure for NYHA Class II, III, IV heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, transesophageal echocardiography (TEE)/intracardiac echocardiography (ICE), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (IDE) study

Facilitymedian $10,715 · 10th–90th $3,162–$28,1840%10%20%10th90th$10,715Professionalmedian $10,233 · 10th–90th $1,380–$56,2340%10%20%10th90th$10,233$0.0$0.5$10.0$200.0$5.0K$100.0K$2.0M

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
$2,511.89 / $7,413.10 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $8,317.64 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $15,848.93 / $31,622.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $295.12 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $11,220.18 / $19,054.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $23,442.29 / $60,255.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,715.19 / $52,480.75 / $77,624.71

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