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North Carolina rates for HCPCS 27536

Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation

Facilitymedian $8,710 · 10th–90th $1,288–$17,3780%10%10th90th$8,710Professionalmedian $1,950 · 10th–90th $1,950–$2,7540%20%40%90th$1,950$100.0$500.0$2.0K$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
$1,659.59 / $10,000.00 / $23,442.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $11,481.54
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
$1,949.84 / $1,949.84 / $2,754.23
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,548.82 / $2,398.83
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
$56.23 / $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