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North Carolina rates for HCPCS 27535

Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed

Facilitymedian $7,079 · 10th–90th $1,000–$15,4880%5%10%10th90th$7,079Professionalmedian $1,514 · 10th–90th $1,514–$2,0890%20%40%90th$1,514$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,174.90 / $7,413.10 / $15,488.17
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
$1,513.56 / $1,513.56 / $2,089.30
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $1,174.90 / $1,819.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $11,748.98 / $19,498.45
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $28,183.83 / $28,183.83
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38