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North Carolina rates for HCPCS 53425

Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage

Facilitymedian $4,074 · 10th–90th $1,023–$8,7100%10%10th90th$4,074Professionalmedian $1,148 · 10th–90th $912–$2,5120%10%20%10th90th$1,148$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
$1,288.25 / $4,168.69 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,071.52 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,412.54 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,445.44 / $2,398.83
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,288.25 / $1,949.84
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $2,398.83
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
$912.01 / $1,174.90 / $2,187.76
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
$8,128.31 / $8,128.31 / $8,128.31