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HIV with Major Related Condition with Major Complications

North Carolina rates for MS-DRG 974

HIV with Major Related Condition with MCC

Rates data updated July 2026.

How much does HIV with Major Related Condition with Major Complications cost?

$34,674

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $27,542 to $44,668.

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 $34,674 · 10th to 90th $21,878 to $56,234
$2K$5K$10K$20K$50Kfacility $34,674

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
$25,703.96
Median
$33,113.11
Typical High
$56,234.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$30,902.95
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$43,651.58
Typical High
$58,884.37
United
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$38,904.51
Typical High
$63,095.73

Where North Carolina sits

The same service costs 3.4 times more in New York than in Michigan. 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

$34,674

NY $72,444MI $21,380

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.