APC 5093
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Level 3 Breast/Lymphatic Surgery and Related Procedures
Low
$5.0k
Average
$12.6k
Median
$10.6k
High
$24.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
33 payers; the 90th percentile is 2.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna other · outpatient · +5 other terms | 42 | $29.0k | $36.7k | $29.1k | 79% | 61–511 | $2.8k – $188.1k |
| 2 | Excellus case rate · outpatient · +1 other terms | 5 | $23.2k | $23.3k | $6.0k | 26% | 26–62 | $14.4k – $34.0k |
| 3 | Healthpartners other · outpatient | 2 | $20.7k | $20.7k | — | — | 22 | $20.7k – $20.7k |
| 4 | Caresource facility · other · outpatient · +2 other terms | 5 | $4.2k | $6.7k | $4.7k | 70% | 5–50 | $3.6k – $16.0k |
| 5 | Medical Mutual other · outpatient · +2 other terms | 4 | $24.6k | $22.3k | $8.4k | 37% | 4–40 | $8.7k – $31.4k |
| 6 | Medica facility · other · outpatient | 2 | $18.0k | $18.0k | — | — | 2–20 | $18.0k – $18.0k |
| 7 | First Health percent of total billed charges · outpatientfrom % of charges | 1 | $19.7k | $19.7k | — | — | 1–10 | $19.7k – $19.7k |
| 8 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 176 | $8.4k | $8.5k | $624 | 7% | — | $4.0k – $10.6k |
| 9 | Humana fee schedule · outpatient · +6 other terms | 162 | $8.3k | $8.7k | $2.5k | 29% | — | $7.2k – $34.1k |
| 10 | Aetna fee schedule · outpatient · +7 other terms | 156 | $8.5k | $8.7k | $1.5k | 17% | — | $7.2k – $16.7k |
| 11 | WellCare fee schedule · outpatient · +4 other terms | 132 | $8.5k | $8.5k | $437 | 5% | — | $7.3k – $10.4k |
| 12 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 127 | $8.7k | $9.0k | $3.6k | 39% | — | $7.2k – $52.2k |
| 13 | Devoted fee schedule · outpatient · +3 other terms | 122 | $8.2k | $8.2k | $232 | 3% | — | $7.2k – $8.6k |
| 14 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $8.6k | $8.4k | $356 | 4% | — | $8.2k – $9.1k |
| 15 | Molina fee schedule · outpatient · +5 other terms | 69 | $12.1k | $11.9k | $4.5k | 37% | — | $7.8k – $21.5k |
| 16 | Superior Healthplan fee schedule · outpatient | 40 | $8.6k | $8.6k | $5 | 0% | — | $8.6k – $8.6k |
| 17 | Anthem fee schedule · outpatient · +4 other terms | 31 | $8.6k | $8.8k | $625 | 7% | — | $7.8k – $10.5k |
| 18 | Oscar fee schedule · outpatient · +4 other terms | 27 | $8.0k | $9.4k | $2.6k | 28% | — | $8.0k – $16.7k |
| 19 | Amerihealth Caritas fee schedule · outpatient | 17 | $11.1k | $10.7k | $835 | 8% | — | $8.9k – $11.1k |
| 20 | Clover fee schedule · outpatient · +4 other terms | 15 | $8.6k | $8.3k | $410 | 5% | — | $7.5k – $8.6k |
| 21 | Kaiser fee schedule · outpatient · +3 other terms | 15 | $8.8k | $8.9k | $326 | 4% | — | $8.6k – $9.8k |
| 22 | Ambetter case rate · outpatient · +5 other terms | 12 | $15.9k | $18.3k | $3.1k | 17% | — | $15.7k – $22.0k |
| 23 | Medicare facility · fee schedule · outpatient · +2 other terms | 10 | $9.9k | $10.0k | $1.8k | 18% | — | $4.1k – $13.8k |
| 24 | Optum fee schedule · outpatient · +4 other terms | 8 | $8.4k | $12.4k | $5.8k | 46% | — | $8.2k – $20.5k |
| 25 | Tricare case rate · outpatient · +1 other terms | 7 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
← Hospitals reporting APC 5093 · Snapshot 20261111T120946Z-9134e7f7