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California rates for HCPCS G0415

Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)

Facilitymedian $10,715 · 10th–90th $4,266–$18,1970%5%10%10th90th$10,715Professionalmedian $1,514 · 10th–90th $1,148–$2,5700%20%10th90th$1,514$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
$4,365.16 / $10,000.00 / $21,379.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $11,220.18 / $17,782.79
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,513.56 / $2,238.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,513.56 / $2,630.27
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,332.54 / $9,332.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,584.89 / $2,630.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $13,803.84 / $28,840.32