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North Carolina rates for HCPCS 27816

Closed treatment of trimalleolar ankle fracture; without manipulation

Facilitymedian $447 · 10th–90th $288$4,2660%10%10th90th$447Professionalmedian $380 · 10th–90th $282$7240%10%10th90th$380$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
$288.40 / $489.78 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $338.84 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $457.09 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $416.87 / $707.95
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $776.25
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $389.05 / $602.56
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $489.78 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $724.44 / $1,949.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $331.13 / $616.60
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $19,498.45
Wellcare
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,951.21