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North Carolina rates for HCPCS 27825

Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation

Facilitymedian $813 · 10th–90th $331–$7,2440%10%10th90th$813Professionalmedian $871 · 10th–90th $871–$1,2590%20%40%90th$871$1.0$5.0$20.0$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
$275.42 / $851.14 / $8,128.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $524.81 / $1,513.56
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,258.93
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $676.08 / $1,047.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $3,548.13 / $6,760.83
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $28,840.32