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North Carolina rates for HCPCS V2020

Frames, purchases

Facilitymedian $85 · 10th–90th $54$1150%20%10th90th$85Professionalmedian $72 · 10th–90th $31$980%10%20%10th90th$72$10.0$20.0$50.0$100.0$200.0$500.0

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
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$67.61
Typical High
$83.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$97.72
Typical High
$97.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$37.15
Typical High
$61.66
Medcost
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$85.11
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$37.15
Typical High
$48.98
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$562.34