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North Carolina rates for HCPCS 53405

Urethroplasty; second stage (formation of urethra), including urinary diversion

Facilitymedian $3,631 · 10th–90th $1,000–$8,7100%10%10th90th$3,631Professionalmedian $1,072 · 10th–90th $851–$2,3440%10%20%10th90th$1,072$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$1,348.96 / $3,630.78 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,047.13 / $2,137.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,288.25 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,348.96 / $2,238.72
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,202.26 / $1,778.28
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,230.27 / $2,238.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $9,549.93 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,096.48 / $2,041.74
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $28,840.32
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $7,244.36