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Donor Bone Graft Replacing A Full Bone Segment

North Carolina rates for HCPCS 20934

Placement of a piece of donor bone to replace an entire segment of a bone shaft that has been removed, often after a bone tumor is taken out. The graft is measured, cut to shape and joined at both ends to the remaining bone with plates, screws or rods.

Rates data updated July 2026.

How much does Donor Bone Graft Replacing A Full Bone Segment cost?

$1,047

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $1,047 from a physician practice, and about $1,072 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$1,047$741 to $1,698
FacilityA hospital or hospital-owned outpatient department$1,072$759 to $4,266

How much rates vary

Facilitymedian $1,072 · 10th to 90th $724 to $6,166Professionalmedian $1,047 · 10th to 90th $708 to $1,995
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,072professional $1,047

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
$741.31
Median
$4,168.69
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$776.25
Typical High
$1,513.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,659.59
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,096.48
Typical High
$1,778.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,737.80
Typical High
$1,737.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$831.76
Typical High
$1,258.93
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$891.25
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$1,479.11
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,677.35
Typical High
$4,677.35
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$6,309.57

Where North Carolina sits

The same service costs 10.2 times more in California than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $1,047 · 22nd of 51
CA $6,918KY $676

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.