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North Carolina rates for HCPCS 20931

Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure)

Facilitymedian $2,399 · 10th–90th $107–$6,0260%5%10%10th90th$2,399Professionalmedian $214 · 10th–90th $214–$2570%20%40%90th$214$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $2,511.89 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $257.04
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $147.91 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $794.33 / $1,995.26
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $4,786.30 / $4,786.30