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Non-Malignant Breast Disorders without Complications

Pennsylvania rates for MS-DRG 601

Nonmalignant Breast Disorders without CC/MCC

Rates data updated July 2026.

Facilitymedian $9,333 · 10th–90th $5,495$14,1250%10%10th90th$9,333$2.0K$5.0K$10.0K$20.0K$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
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$10,000.00
Typical High
$13,803.84
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$12,589.25
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$9,772.37
Typical High
$16,595.87
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$12,882.50
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,715.19
Typical High
$13,489.63
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$9,120.11
Typical High
$14,125.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$9,120.11
Typical High
$13,489.63
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,623.41
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$7,943.28
Typical High
$14,125.38