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Non-Malignant Breast Disorders without Complications

California rates for MS-DRG 601

Nonmalignant Breast Disorders without CC/MCC

Rates data updated July 2026.

How much does Non-Malignant Breast Disorders without Complications cost?

$15,136

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $15,136 for this service. Most negotiated rates run $11,482 to $21,878.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,136 · 10th to 90th $8,511 to $25,704
$100.0$500.0$2.0K$10.0K$50.0Kfacility $15,136

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$14,125.38
Typical High
$25,703.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$15,135.61
Typical High
$25,703.96
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$10,232.93
Typical High
$25,118.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$12,302.69
Typical High
$21,379.62
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$21,877.62
Typical High
$21,877.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$13,803.84
Typical High
$25,703.96
United
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$10,964.78
Typical High
$23,442.29

Where California sits

The same service costs 10.0 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $15,136 · 3rd of 51
MT $48,978NM $4,898

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.