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North Carolina rates for HCPCS 43130

Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach

Facilitymedian $1,230 · 10th–90th $776–$10,0000%10%20%10th90th$1,230Professionalmedian $1,288 · 10th–90th $1,288–$1,2880%50%100%$1,288$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
$1,122.02 / $5,495.41 / $11,481.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $3,019.95 / $5,370.32
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,288.25
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $1,023.29 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $8,317.64 / $16,982.44
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $16,982.44 / $16,982.44