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Implanted Pleural Catheter

North Carolina rates for HCPCS A7042

Implanted pleural catheter

Rates data updated July 2026.

How much does Implanted Pleural Catheter cost?

$363

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $195 to $363.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $363 · 10th to 90th $363 to $363Professionalmedian $191 · 10th to 90th $112 to $245
$200.0$500.0facility $363professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$245.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$190.55
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78

Where North Carolina sits

The same service costs 15.1 times more in Illinois than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $363 · 3rd of 36
IL $457SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.