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Benign Prostatic Hypertrophy without Major Complications

California rates for MS-DRG 726

Benign Prostatic Hypertrophy without MCC

Rates data updated July 2026.

How much does Benign Prostatic Hypertrophy without Major Complications cost?

$18,197

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $13,804 to $26,303.

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 $18,197 · 10th to 90th $10,000 to $30,200
$200$500$1K$2K$5K$10K$20Kfacility $18,197

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
$11,220.18
Median
$16,595.87
Typical High
$30,902.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$18,197.01
Typical High
$30,199.52
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$12,302.69
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$14,791.08
Typical High
$25,703.96
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
$25,703.96
Median
$25,703.96
Typical High
$25,703.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$16,595.87
Typical High
$30,199.52
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$12,589.25
Typical High
$28,183.83

Where California sits

The same service costs 8.5 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.

California· 4th of 51

$18,197

MT $48,978NM $5,754

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.