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California rates for MS-DRG 500

Soft tissue procedures w MCC

Facilitymedian $77,625 · 10th–90th $10,233–$131,8260%10%20%10th90th$77,625$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
$36,307.81 / $74,131.02 / $138,038.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $79,432.82 / $131,825.67
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $50,118.72 / $112,201.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $63,095.73 / $112,201.85
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114,815.36 / $114,815.36 / $114,815.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $64,565.42 / $125,892.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $57,543.99 / $123,026.88