Bay Area Surgical Management takes from insurance companies, keeps 15 percent to 25 percent of the fees, and gives the rest to surgeons. Aetna claims that Bay Area’s facility fees are much higher than what it pays in-network centers for the same procedure. Here’s a comparison of some surgical work.

Photograph by Annie Collinge for Bloomberg Busienssweek

Bay Area Surgical Management takes from insurance companies, keeps 15 percent to 25 percent of the fees, and gives the rest to surgeons. Aetna claims that Bay Area’s facility fees are much higher than what it pays in-network centers for the same procedure. Here’s a comparison of some surgical work.

Photograph by Annie Collinge for Bloomberg Busienssweek

Body Work

Aetna vs. Bay Area Surgical Management
Aetna vs. Bay Area Surgical Management

Bay Area Surgical Management takes from insurance companies, keeps 15 percent to 25 percent of the fees, and gives the rest to surgeons. Aetna claims that Bay Area’s facility fees are much higher than what it pays in-network centers for the same procedure. Here’s a comparison of some surgical work.

Photograph by Annie Collinge for Bloomberg Busienssweek
Removal of Eye Lesion; Tonsillectomy
Removal of Eye Lesion; Tonsillectomy
Removal of Eye Lesion
In-Network*: $901
BASM^: $6,503
Increase: 622%

Tonsillectomy
In-Network: $2,079
BASM: $7,309
Increase: 252%

*—Aetna’s average payout to facilities
^—Bay Area Surgical Management’s payouts from Aetna
Photographs by Annie Collinge for Bloomberg Businessweek
Ear Canal Clearing; Shoulder Arthroscopy
Ear Canal Clearing; Shoulder Arthroscopy
Ear Canal Clearing
In-Network: $897
BASM: $3,929
Increase: 338%

Shoulder Arthroscopy
In-Network: $2,129
BASM: $17,212
Increase: 708%
Photographs by Annie Collinge for Bloomberg Businessweek
Achilles Tendon Repair
Achilles Tendon Repair

In-Network: $2,229
BASM: $14,144
Increase: 535%

Photographs by Annie Collinge for Bloomberg Businessweek
Tibia Surgery; Correction of Bunion
Tibia Surgery; Correction of Bunion
Tibia Surgery
In-Network: $1,939
BASM: $11,831
Increase: 510%

Correction of Bunion
In-Network: $3,677
BASM: $16,099
Increase: 338%
Photographs by Annie Collinge for Bloomberg Businessweek
Revise Median Nerve at Wrist
Revise Median Nerve at Wrist

In-Network: $1,527
BASM: $10,293
Increase: 574%

Photographs by Annie Collinge for Bloomberg Businessweek