go back

Concussion with Major Complications

North Carolina rates for MS-DRG 088

Concussion with MCC

Rates data updated July 2026.

How much does Concussion with Major Complications cost?

$16,982

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $16,982 for this service. Most negotiated rates run $13,183 to $20,893.

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 $16,982 · 10th to 90th $11,482 to $26,915
$2K$5K$10K$20Kfacility $16,982

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$15,488.17
Typical High
$26,915.35
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$15,488.17
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$20,417.38
Typical High
$27,542.29
United
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$18,197.01
Typical High
$29,512.09

Where North Carolina sits

The same service costs 6.6 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 36th of 51

$16,982

MT $72,444NM $10,965

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.