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North Carolina rates for HCPCS 21295

Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach

Facilitymedian $617 · 10th–90th $191–$6,4570%5%10%10th90th$617Professionalmedian $214 · 10th–90th $158–$5130%10%20%10th90th$214$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $1,000.00 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $208.93 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $257.04 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $257.04 / $436.52
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $457.09
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $239.88 / $380.19
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $354.81 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $3,548.13 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $204.17 / $398.11
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $19,498.45
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $8,317.64