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Pennsylvania rates for MS-DRG 585

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

Facilitymedian $30,200 · 10th–90th $17,378–$44,6680%10%10th90th$30,200$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
$17,782.79 / $31,622.78 / $45,708.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $26,915.35 / $44,668.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $30,902.95 / $43,651.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $33,884.42 / $41,686.94
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $32,359.37 / $38,904.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $57,543.99 / $75,857.76
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $29,512.09 / $44,668.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $17,378.01 / $29,512.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $24,547.09 / $44,668.36