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Pennsylvania rates for MS-DRG 584

Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc

Facilitymedian $34,674 · 10th–90th $19,498–$48,9780%10%10th90th$34,674$2.0K$5.0K$10.0K$20.0K$50.0K$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
$19,952.62 / $35,481.34 / $50,118.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $32,359.37 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $34,673.69 / $45,708.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $38,018.94 / $45,708.82
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $35,481.34 / $43,651.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $51,286.14 / $87,096.36
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $33,113.11 / $48,977.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $16,982.44 / $29,512.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $26,915.35 / $50,118.72