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Living Bone Graft Taken From The Hip

North Carolina rates for HCPCS 20956

A piece of bone is taken from the rim of the hip with its own blood vessels still attached and transferred to rebuild missing bone elsewhere in the body. The vessels are stitched to vessels at the new site under a microscope, so the graft arrives alive rather than as dead bone that must be gradually replaced.

Rates data updated July 2026.

How much does Living Bone Graft Taken From The Hip cost?

$3,890

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $3,890 from a physician practice, and about $4,266 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$3,890$2,692 to $5,129
FacilityA hospital or hospital-owned outpatient department$4,266$2,818 to $9,333

How much rates vary

Facilitymedian $4,266 · 10th to 90th $2,399 to $10,471Professionalmedian $3,890 · 10th to 90th $2,570 to $7,586
$1K$2K$5K$10K$20Kfacility $4,266professional $3,890

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
$8,128.31
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,754.23
Typical High
$8,128.31
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,570.88
Typical High
$7,585.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,715.35
Typical High
$5,754.40
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$6,025.60
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$3,467.37
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$13,803.84
Typical High
$23,442.29
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,884.03
Typical High
$5,495.41
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$26,302.68
Typical High
$26,302.68
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$22,387.21

Where North Carolina sits

The same service costs 2.7 times more in California than in Delaware. 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· 17th of 51

$3,890

CA $7,079DE $2,630

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.