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North Carolina rates for HCPCS 53520

Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure)

Facilitymedian $3,467 · 10th–90th $676–$8,7100%10%10th90th$3,467Professionalmedian $724 · 10th–90th $550–$1,5850%10%10th90th$724$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
$870.96 / $3,467.37 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $660.69 / $1,584.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $831.76 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $851.14 / $1,412.54
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $758.58 / $1,122.02
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $1,412.54
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
$537.03 / $691.83 / $1,318.26
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
$4,073.80 / $4,073.80 / $4,677.35