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North Carolina rates for HCPCS 22116

Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure)

Facilitymedian $347 · 10th–90th $141–$5,4950%10%10th90th$347Professionalmedian $263 · 10th–90th $263–$3240%20%40%90th$263$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $1,000.00 / $7,585.78
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
$263.03 / $263.03 / $323.59
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $190.55 / $302.00
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
$56.23 / $1,288.25 / $1,288.25