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Pennsylvania rates for MS-DRG 581

Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc

Facilitymedian $23,442 · 10th–90th $12,589–$33,1130%10%10th90th$23,442$2.0K$5.0K$10.0K$20.0K$50.0K

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
$13,182.57 / $23,988.33 / $33,884.42
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $21,379.62 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $23,442.29 / $35,481.34
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $25,703.96 / $30,902.95
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $23,988.33 / $29,512.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $28,840.32 / $37,153.52
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $21,877.62 / $33,113.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $11,748.98 / $19,498.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $18,620.87 / $33,884.42