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Synthetic Mesh Reinforcement Of The Abdominal Wall

North Carolina rates for HCPCS 0437T

Places a sheet of synthetic mesh to strengthen the tough tissue layer of the abdominal wall. It is performed alongside a primary operation and charged in addition to it. The primary procedure is charged separately.

Rates data updated July 2026.

How much does Synthetic Mesh Reinforcement Of The Abdominal Wall cost?

$389

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $324 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$389$275 to $692
FacilityA hospital or hospital-owned outpatient department$324$275 to $933

How much rates vary

Facilitymedian $324 · 10th to 90th $200 to $5,248Professionalmedian $389 · 10th to 90th $145 to $813
$50$100$200$500$1K$2K$5Kfacility $324professional $389

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
$275.42
Median
$4,265.80
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$275.42
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$489.78
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$707.95
Medcost
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$288.40
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$512.86
Typical High
$1,513.56
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$549.54
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28

Where North Carolina sits

The same service costs 6.9 times more in California than in Kentucky. 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· 3rd of 51

$389

CA $1,778KY $257

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.