| Adenoid removal (adenoidectomy), child under 12
code 42830 |
10 |
$1,075.20 |
$3,611.88 |
| Anterior cervical discectomy and fusion (ACDF), one level
code 22551 |
8 |
$11,186.90 |
$14,392.14 |
| Appendectomy for a ruptured appendix with abscess or peritonitis
code 44960 |
4 |
$2,159.50 |
$7,709.53 |
| Appendectomy, open surgery
code 44950 |
16 |
$546.60 |
$1,707.26 |
| Arthroscopic ACL reconstruction or repair of the knee
code 29888 |
13 |
$1,535.80 |
$10,209.72 |
| Arthroscopic rotator cuff repair of the shoulder
code 29827 |
17 |
$1,318.00 |
$10,021.60 |
| Balloon dilation of the maxillary sinus opening, one side
code 31295 |
10 |
$1,804.18 |
$2,659.73 |
| Botox injections for chronic migraine
code 64615 |
19 |
$91.20 |
$160.74 |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion
code 19081 |
21 |
$398.20 |
$686.34 |
| Broken ankle (outer ankle bone) treatment without surgery or setting
code 27786 |
34 |
$54.60 |
$182.66 |
| Broken foot (metatarsal) treatment without surgery or setting
code 28470 |
33 |
$55.86 |
$194.74 |
| Bunion correction with a bone cut near the head of the first metatarsal
code 28296 |
13 |
$433.95 |
$3,707.12 |
| Bunion correction with removal of part of the big toe joint
code 28292 |
9 |
$393.11 |
$2,976.56 |
| Cardiac catheterization with coronary angiogram
code 93458 |
34 |
$1,195.02 |
$4,701.48 |
| Cardioversion, elective (restoring heart rhythm)
code 92960 |
54 |
$223.86 |
$582.02 |
| Carpal tunnel release, open surgery
code 64721 |
22 |
$533.16 |
$1,761.81 |
| Cataract surgery with lens implant
code 66984 |
24 |
$530.10 |
$2,141.91 |
| Catheter ablation for atrial fibrillation
code 93656 |
19 |
$7,731.36 |
$14,110.18 |
| Cervical biopsy
code 57500 |
30 |
$139.86 |
$503.34 |
| Cesarean delivery, including prenatal and postpartum care
code 59510 |
2 |
$530.10 |
$2,097.65 |
| Circumcision by surgical excision, older than 28 days (children and adults)
code 54161 |
27 |
$306.60 |
$1,536.57 |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns
code 54150 |
39 |
$85.00 |
$1,186.90 |
| Circumcision, surgical, older than a newborn
code 54160 |
24 |
$265.92 |
$899.95 |
| Closed treatment of a wrist (distal radius) fracture, no resetting
code 25600 |
38 |
$55.86 |
$248.58 |
| Colonoscopy with endoscopic ultrasound
code 45391 |
19 |
$243.65 |
$609.84 |
| Colonoscopy with polyp removal
code 45385 |
41 |
$233.24 |
$825.58 |
| Colonoscopy with tissue sample
code 45380 |
43 |
$243.65 |
$846.30 |
| Colonoscopy, diagnostic
code 45378 |
42 |
$243.65 |
$771.66 |
| Colposcopy with LEEP (loop electrosurgical excision)
code 57460 |
20 |
$225.00 |
$1,442.89 |
| Colposcopy with cervical biopsy and scraping of the cervical canal
code 57454 |
21 |
$87.64 |
$256.30 |
| Complex cataract surgery with lens implant
code 66982 |
12 |
$2,099.44 |
$3,508.94 |
| Coronary stent placement, one artery
code 92928 |
26 |
$3,463.20 |
$7,969.56 |
| Cystoscopy with ureteral stent placement
code 52332 |
25 |
$381.00 |
$1,983.68 |
| Cystoscopy, diagnostic look inside the bladder and urethra
code 52000 |
31 |
$131.56 |
$634.34 |
| D&C (dilation and curettage), not related to pregnancy
code 58120 |
22 |
$391.30 |
$1,983.82 |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion
code 17000 |
31 |
$44.66 |
$97.30 |
| Ear tube placement (tympanostomy) under general anesthesia, one ear
code 69436 |
23 |
$172.65 |
$1,476.24 |
| Ear tube placement (tympanostomy) with local anesthesia, one ear
code 69433 |
16 |
$228.76 |
$499.32 |
| Earwax removal by irrigation (rinsing), one ear
code 69209 |
43 |
$15.00 |
$70.08 |
| Earwax removal with instruments, one ear
code 69210 |
53 |
$18.90 |
$61.60 |
| Endometrial biopsy (uterine lining sample) without dilating the cervix
code 58100 |
32 |
$57.26 |
$155.86 |
| Endoscopic sinus surgery: full ethmoid sinus opening
code 31255 |
9 |
$4,260.07 |
$7,651.91 |
| Endoscopic sinus surgery: opening the frontal sinus
code 31276 |
7 |
$2,639.78 |
$6,420.23 |
| Endoscopic sinus surgery: opening the maxillary (cheek) sinus
code 31256 |
10 |
$848.59 |
$3,290.25 |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue
code 31267 |
8 |
$1,930.50 |
$6,765.49 |
| Epidural steroid injection, neck or mid back, with imaging guidance
code 62321 |
32 |
$275.10 |
$747.16 |
| Eye injection into the vitreous (intravitreal injection)
code 67028 |
20 |
$127.14 |
$291.24 |
| Facet joint injection, lower back, one level, with imaging guidance
code 64493 |
35 |
$221.90 |
$679.50 |
| First repair of a front abdominal hernia (such as umbilical) 3 to 10 cm
code 49593 |
17 |
$474.25 |
$5,889.28 |
| First repair of a front abdominal hernia larger than 10 cm
code 49595 |
10 |
$654.90 |
$8,051.70 |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm
code 49591 |
17 |
$852.40 |
$4,105.55 |
| Flexible sigmoidoscopy, diagnostic (lower colon only)
code 45330 |
39 |
$111.80 |
$502.70 |
| Gallbladder removal, laparoscopic
code 47562 |
33 |
$530.10 |
$2,952.28 |
| Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery
code 47563 |
26 |
$607.65 |
$3,535.31 |
| Gallbladder removal, open surgery through a larger incision
code 47600 |
9 |
$904.21 |
$2,692.50 |
| Hammertoe correction surgery
code 28285 |
13 |
$325.95 |
$2,976.56 |
| Hemorrhoid banding (rubber band ligation)
code 46221 |
31 |
$205.99 |
$459.90 |
| Hemorrhoidectomy (internal and external), one area
code 46255 |
26 |
$426.60 |
$1,716.41 |
| Hip replacement after an earlier hip surgery (conversion to total hip)
code 27132 |
5 |
$11,666.69 |
$19,456.60 |
| Hysterectomy through an abdominal incision (total)
code 58150 |
12 |
$864.60 |
$2,176.23 |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes
code 58340 |
26 |
$51.87 |
$123.85 |
| Hysteroscopy with endometrial ablation
code 58563 |
23 |
$1,684.06 |
$2,820.83 |
| Hysteroscopy with uterine lining sampling and/or polyp removal
code 58558 |
22 |
$613.48 |
$1,952.30 |
| IUD insertion (the device itself billed separately)
code 58300 |
32 |
$37.38 |
$163.31 |
| Incision and drainage of a simple or single skin abscess
code 10060 |
57 |
$33.00 |
$201.60 |
| Inguinal (groin) hernia repair, age 5 or older
code 49505 |
21 |
$444.90 |
$3,049.20 |
| Injection into a tendon sheath or ligament (for example trigger finger)
code 20550 |
35 |
$50.40 |
$217.58 |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound
code 20610 |
52 |
$54.75 |
$258.30 |
| Insertion of a drug-delivery implant, such as the arm birth control implant
code 11981 |
28 |
$31.84 |
$86.68 |
| Joint injection or drainage, medium joint (wrist, elbow, ankle)
code 20605 |
48 |
$42.00 |
$248.51 |
| Joint injection or drainage, small joint (fingers, toes)
code 20600 |
47 |
$49.59 |
$258.30 |
| Knee arthroscopy with meniscus repair (one side of the knee)
code 29882 |
15 |
$1,681.40 |
$7,669.12 |
| Knee arthroscopy with meniscus trim
code 29881 |
21 |
$530.10 |
$3,498.88 |
| Knee arthroscopy with removal of both torn meniscus parts
code 29880 |
16 |
$865.20 |
$3,642.57 |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty)
code 29877 |
14 |
$1,484.70 |
$3,750.64 |
| Laparoscopic Roux-en-Y gastric bypass, standard limb length
code 43644 |
3 |
$5,581.80 |
$16,018.52 |
| Laparoscopic adjustable gastric band placement (Lap-Band)
code 43770 |
1 |
$9,665.45 |
$9,665.45 |
| Laparoscopic appendectomy (appendix removal through small cuts)
code 44970 |
29 |
$512.40 |
$4,625.25 |
| Laparoscopic fundoplication (anti-reflux surgery)
code 43280 |
17 |
$1,725.50 |
$5,378.67 |
| Laparoscopic hysterectomy (uterus 250 g or less)
code 58570 |
8 |
$3,972.85 |
$10,298.75 |
| Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries
code 58571 |
20 |
$924.00 |
$5,254.55 |
| Laparoscopic inguinal (groin) hernia repair, first repair on that side
code 49650 |
18 |
$367.80 |
$4,518.73 |
| Laparoscopic inguinal (groin) hernia repair, recurrent hernia
code 49651 |
11 |
$1,936.90 |
$8,240.36 |
| Laparoscopic removal of an adjustable gastric band and its port
code 43774 |
3 |
$3,507.35 |
$5,056.89 |
| Laparoscopic removal of fallopian tubes and/or ovaries
code 58661 |
17 |
$548.40 |
$5,499.66 |
| Laparoscopic sleeve gastrectomy for weight loss
code 43775 |
4 |
$3,788.40 |
$9,064.00 |
| Laser treatment of clouding after cataract surgery (YAG)
code 66821 |
18 |
$241.64 |
$458.42 |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs
code 12031 |
52 |
$72.60 |
$322.28 |
| Left heart catheterization, diagnostic
code 93452 |
27 |
$1,065.96 |
$3,227.62 |
| Lower-back epidural injection, with imaging guidance
code 62323 |
36 |
$254.80 |
$708.66 |
| Lower-back epidural injection, without imaging guidance
code 62322 |
28 |
$156.40 |
$391.24 |
| Lower-back nerve root steroid injection, with imaging guidance
code 64483 |
34 |
$223.30 |
$535.59 |
| Lumbar discectomy or laminotomy to free a nerve root, one level
code 63030 |
12 |
$2,305.92 |
$6,275.66 |
| Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level
code 22633 |
4 |
$11,321.20 |
$31,580.33 |
| Lumbar interbody fusion (PLIF or TLIF), one level
code 22630 |
4 |
$24,618.40 |
$30,020.76 |
| Lumbar laminectomy (spinal decompression), one level
code 63047 |
7 |
$5,697.26 |
$8,158.52 |
| Lumbar spinal fusion (posterior), one level
code 22612 |
4 |
$10,021.30 |
$16,544.25 |
| Lumpectomy (partial mastectomy)
code 19301 |
15 |
$426.73 |
$4,241.16 |
| Mastectomy (total removal of the breast)
code 19303 |
18 |
$801.50 |
$4,389.09 |
| Miscarriage treatment with D&C, first trimester
code 59820 |
23 |
$588.00 |
$1,727.32 |
| Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals
code 17311 |
12 |
$150.78 |
$315.38 |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm
code 11400 |
31 |
$67.20 |
$377.30 |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm
code 11440 |
26 |
$110.88 |
$379.24 |
| Nail removal (partial or complete), one nail
code 11730 |
51 |
$59.55 |
$141.70 |
| Occipital nerve block (injection for headaches)
code 64405 |
31 |
$69.96 |
$258.30 |
| Open Roux-en-Y gastric bypass through an abdominal incision
code 43846 |
1 |
$5,581.80 |
$5,581.80 |
| Pacemaker implant (dual chamber)
code 33208 |
35 |
$2,691.26 |
$10,424.04 |
| Paracentesis with imaging guidance
code 49083 |
41 |
$123.66 |
$532.80 |
| Partial knee replacement (one compartment)
code 27446 |
5 |
$11,666.69 |
$16,360.07 |
| Permanent removal of a nail and nail root (partial or complete)
code 11750 |
55 |
$115.50 |
$399.97 |
| Prostate biopsy
code 55700 |
29 |
$245.87 |
$762.30 |
| Prostate removal (prostatectomy), laparoscopic
code 55866 |
14 |
$3,898.30 |
$6,222.29 |
| Radiofrequency ablation of facet joint nerves, lower back, one level
code 64635 |
32 |
$428.49 |
$1,014.50 |
| Removal of a breast lump, open surgery
code 19120 |
24 |
$409.95 |
$1,413.48 |
| Removal of a foreign object under the skin, simple
code 10120 |
53 |
$49.50 |
$252.77 |
| Removal of one lobe of the thyroid (lobectomy)
code 60220 |
16 |
$1,103.90 |
$5,537.11 |
| Screening colonoscopy for a person at average risk (Medicare code)
code G0121 |
35 |
$333.20 |
$645.68 |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code)
code G0105 |
35 |
$270.50 |
$621.00 |
| Septoplasty to straighten the nasal septum
code 30520 |
13 |
$1,660.95 |
$5,727.66 |
| Shock-wave lithotripsy to break up kidney stones (from outside the body)
code 50590 |
27 |
$984.50 |
$3,611.95 |
| Short arm cast (elbow to hand)
code 29075 |
36 |
$53.20 |
$174.40 |
| Short arm splint (forearm and hand)
code 29125 |
51 |
$38.25 |
$122.54 |
| Short leg cast (below the knee)
code 29405 |
32 |
$53.48 |
$209.20 |
| Short leg splint (calf to foot)
code 29515 |
53 |
$48.15 |
$153.12 |
| Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle)
code 29824 |
13 |
$1,027.60 |
$6,049.65 |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery)
code 29826 |
13 |
$216.50 |
$3,376.62 |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs
code 12001 |
53 |
$57.00 |
$195.75 |
| Skin biopsy, punch, one lesion
code 11104 |
43 |
$65.10 |
$268.62 |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm
code 11600 |
19 |
$93.00 |
$477.34 |
| Skin tag removal, up to 15 tags
code 11200 |
40 |
$45.08 |
$131.73 |
| Spinal tap (lumbar puncture), diagnostic
code 62270 |
50 |
$120.00 |
$432.27 |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs
code 12002 |
53 |
$38.10 |
$187.50 |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair
code 12011 |
53 |
$47.46 |
$183.68 |
| TURP (transurethral resection of the prostate)
code 52601 |
10 |
$3,321.07 |
$4,824.45 |
| Tangential (shave-style) skin biopsy, one lesion
code 11102 |
35 |
$48.00 |
$171.20 |
| Thoracentesis with imaging guidance
code 32555 |
44 |
$199.52 |
$642.81 |
| Tonsil and adenoid removal, age 12 or older
code 42821 |
13 |
$1,200.00 |
$3,857.47 |
| Tonsil and adenoid removal, child under 12
code 42820 |
20 |
$445.90 |
$2,877.31 |
| Tonsil removal (tonsillectomy) only, age 12 or older
code 42826 |
11 |
$386.40 |
$2,844.37 |
| Tonsil removal (tonsillectomy) only, child under 12
code 42825 |
10 |
$401.80 |
$3,034.20 |
| Total hip replacement
code 27130 |
14 |
$2,075.10 |
$14,627.03 |
| Total knee replacement
code 27447 |
19 |
$2,118.90 |
$12,768.74 |
| Total shoulder replacement
code 23472 |
13 |
$2,281.30 |
$16,586.44 |
| Total thyroid removal (thyroidectomy)
code 60240 |
15 |
$1,445.50 |
$5,499.66 |
| Trigger finger release surgery
code 26055 |
21 |
$803.52 |
$1,462.80 |
| Trigger point injections, 1 or 2 muscles
code 20552 |
48 |
$61.29 |
$146.50 |
| Tubal ligation, laparoscopic (tubes sealed by cautery)
code 58670 |
10 |
$557.90 |
$5,098.61 |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion
code 19083 |
39 |
$215.74 |
$940.59 |
| Upper endoscopy (EGD) with balloon widening of the esophagus
code 43249 |
33 |
$329.19 |
$824.88 |
| Upper endoscopy (EGD) with biopsy
code 43239 |
44 |
$219.82 |
$753.11 |
| Upper endoscopy (EGD) with injection into the lining
code 43236 |
30 |
$219.82 |
$597.66 |
| Upper endoscopy (EGD) with polyp removal by snare
code 43251 |
38 |
$329.19 |
$826.63 |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire
code 43248 |
34 |
$219.82 |
$661.08 |
| Upper endoscopy (EGD), diagnostic
code 43235 |
44 |
$219.82 |
$791.37 |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall
code 43240 |
17 |
$551.32 |
$1,666.00 |
| Ureteroscopy with laser stone breaking (lithotripsy)
code 52353 |
17 |
$1,039.36 |
$4,034.31 |
| Ureteroscopy with laser stone breaking and stent placement
code 52356 |
22 |
$1,753.08 |
$4,020.70 |
| Vaginal delivery, including prenatal and postpartum care
code 59400 |
2 |
$784.74 |
$2,039.82 |
| Vasectomy, one or both sides, including follow-up semen testing
code 55250 |
25 |
$375.20 |
$1,219.85 |
| Vein ablation, radiofrequency, first vein
code 36475 |
19 |
$921.90 |
$2,117.36 |
| Wart removal, up to 14 warts
code 17110 |
37 |
$44.94 |
$135.24 |
| Wound debridement, skin and tissue under it, first 20 sq cm
code 11042 |
51 |
$76.50 |
$392.00 |
| Wrist fracture surgery (plate and screws), distal radius
code 25607 |
15 |
$1,127.00 |
$6,890.21 |