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North Carolina rates for HCPCS 54401

Insertion of penile prosthesis; inflatable (self-contained)

Facilitymedian $1,622 · 10th–90th $692–$18,6210%10%20%10th90th$1,622Professionalmedian $891 · 10th–90th $646–$1,7380%10%20%10th90th$891$200.0$1.0K$5.0K$20.0K$100.0K

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
$1,000.00 / $1,659.59 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $776.25 / $1,737.80
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,348.96 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $1,023.29 / $1,698.24
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $891.25 / $1,412.54
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $1,659.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $26,302.68 / $46,773.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $812.83 / $1,513.56
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $100,000.00 / $100,000.00
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $12,022.64