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North Carolina rates for HCPCS 27826

Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only

Facilitymedian $1,413 · 10th–90th $832–$10,7150%10%10th90th$1,413Professionalmedian $1,175 · 10th–90th $1,175–$1,9950%20%40%90th$1,175$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$1,148.15 / $2,089.30 / $8,709.64
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $8,317.64
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,995.26
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,047.13 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $14,791.08 / $23,442.29
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $26,302.68 / $45,708.82