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Washington rates for MS-DRG 585

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

Facilitymedian $46,774 · 10th–90th $26,915–$79,4330%10%20%10th90th$46,774$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
$32,359.37 / $48,977.88 / $104,712.85
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $33,113.11 / $42,657.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $41,686.94 / $63,095.73
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $30,199.52 / $35,481.34
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $37,153.52 / $57,543.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $35,481.34 / $45,708.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $38,018.94 / $56,234.13