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North Carolina rates for HCPCS 43280

Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)

Facilitymedian $7,586 · 10th–90th $1,122–$21,3800%5%10%10th90th$7,586Professionalmedian $1,738 · 10th–90th $1,738–$1,7380%50%100%$1,738$1.0$10.0$100.0$1.0K$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
$1,698.24 / $10,471.29 / $21,379.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $9,120.11 / $10,232.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $851.14 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $1,737.80
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,348.96 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $10,232.93 / $22,908.68
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $28,840.32 / $28,840.32
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03