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California rates for MS-DRG 585

Breast biopsy, local excision & other breast procedures w/o CC/MCC

Facilitymedian $51,286 · 10th–90th $25,119–$69,1830%20%40%10th90th$51,286$100.0$500.0$2.0K$10.0K$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
$25,118.86 / $50,118.72 / $81,283.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $53,703.18 / $69,183.10
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $37,153.52 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $38,904.51 / $67,608.30
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
$69,183.10 / $69,183.10 / $69,183.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $48,977.88 / $69,183.10
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $39,810.72 / $39,810.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $38,904.51 / $75,857.76