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Spine Tethering For Curvature, Longer Run

North Carolina rates for HCPCS 0657T

An operation to straighten a curved spine by fixing anchors to the front of the spine bones and running a flexible cord between them. Tightening the cord pulls the curve straighter and lets it keep correcting while the spine is still growing, without locking the bones solid. This version covers a longer run of spine bones.

Rates data updated July 2026.

How much does Spine Tethering For Curvature, Longer Run cost?

$2,399

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,399 for this service. The price depends on where it is billed: about $2,399 from a physician practice, and about $2,754 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$2,399$2,089 to $3,715
FacilityA hospital or hospital-owned outpatient department$2,754$2,188 to $8,710

How much rates vary

Facilitymedian $2,754 · 10th to 90th $1,660 to $13,804Professionalmedian $2,399 · 10th to 90th $100 to $5,888
$100$500$2K$10K$50Kfacility $2,754professional $2,399

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
$1,659.59
Median
$7,585.78
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,187.76
Typical High
$2,754.23
BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$3,235.94
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,344.23
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,981.07
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,630.27
Typical High
$4,677.35
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$77,624.71
Median
$77,624.71
Typical High
$77,624.71
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$19,498.45

Where North Carolina sits

The same service costs 5.0 times more in California than in Alabama. 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· 31st of 51

$2,399

CA $10,233AL $2,042

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.