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Benign Prostatic Hypertrophy with Major Complications

Virginia rates for MS-DRG 725

Benign Prostatic Hypertrophy with MCC

Rates data updated July 2026.

How much does Benign Prostatic Hypertrophy with Major Complications cost?

$19,953

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $19,953 for this service. Most negotiated rates run $16,982 to $22,387.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19,953 · 10th to 90th $13,804 to $25,704
$10K$20Kfacility $19,953

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
$16,218.10
Median
$20,417.38
Typical High
$23,442.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$21,877.62
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$18,197.01
Typical High
$28,183.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$19,498.45
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$16,218.10
Typical High
$32,359.37

Where Virginia sits

The same service costs 7.8 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 21st of 51

$19,953

MT $72,444NM $9,333

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.