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Forehead Reduction With Implant Or Bone Graft

North Carolina rates for HCPCS 21138

Reshapes a prominent or uneven forehead by shaving and contouring the bone, then adding an implant material or a piece of the patient's own bone to smooth and even out the result. It is used for a heavy brow ridge or a forehead contour that stands out, whether from natural shape, an old injury, or a bone condition. The incision is usually hidden behind the hairline.

Rates data updated July 2026.

How much does Forehead Reduction With Implant Or Bone Graft cost?

$1,122

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $1,479 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$1,096$891 to $1,738
FacilityA hospital or hospital-owned outpatient department$1,479$1,072 to $5,623

How much rates vary

Facilitymedian $1,479 · 10th to 90th $891 to $8,710Professionalmedian $1,096 · 10th to 90th $794 to $2,630
$1K$2K$5K$10K$20Kfacility $1,479professional $1,096

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
$891.25
Median
$2,951.21
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$954.99
Typical High
$2,818.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,148.15
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,445.44
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,258.93
Typical High
$1,995.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$2,089.30
Medcost
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,202.26
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,964.78
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,862.09
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$16,982.44
Typical High
$16,982.44
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64

Where North Carolina sits

The same service costs 7.1 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· 37th of 51

$1,122

CA $6,310KY $891

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.