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Nationwide rates for HCPCS G0516

Insertion of nonbiodegradable drug delivery implants, four or more (services for subdermal rod implant)

Facilitymedian $2,089 · 10th–90th $105–$7,5860%5%10th90th$2,089Professionalmedian $166 · 10th–90th $85–$3090%10%10th90th$166$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
$302.00 / $3,162.28 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $131.83 / $245.47
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $467.74 / $4,897.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $213.80 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $707.95 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $162.18 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $1,174.90 / $3,467.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $218.78 / $446.68

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