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New York rates for MS-DRG 585

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

Facilitymedian $47,863 · 10th–90th $18,621–$75,8580%10%10th90th$47,863$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
$15,488.17 / $40,738.03 / $75,857.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $63,095.73 / $79,432.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $54,954.09 / $69,183.10
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $47,863.01 / $120,226.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $18,620.87 / $18,620.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $40,738.03 / $67,608.30