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California rates for MS-DRG 601

Non-Malignant Breast Disorders Without Cc/Mcc

Facilitymedian $15,136 · 10th–90th $8,128–$25,7040%10%20%10th90th$15,136$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
$7,079.46 / $14,125.38 / $26,302.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $15,135.61 / $25,703.96
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $10,471.29 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $12,302.69 / $21,379.62
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
$21,877.62 / $21,877.62 / $21,877.62
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $13,803.84 / $25,703.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $11,220.18 / $23,442.29