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Nonsurgical Repositioning Of A Shoulder-Area Fracture

North Carolina rates for HCPCS 23605

A fracture near the top of the upper arm bone, close to the shoulder joint, is treated without surgery by manually guiding the broken pieces back into proper alignment. The arm is then immobilized, often with a sling or brace, while the bone heals.

Rates data updated July 2026.

How much does Nonsurgical Repositioning Of A Shoulder-Area Fracture cost?

$1,281

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,281 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $692 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$589$457 to $813
Facility feeThe hospital or surgery center$692$490 to $1,585

How much rates vary

Facilitymedian $692 · 10th to 90th $417 to $7,244Professionalmedian $589 · 10th to 90th $407 to $1,175
$500$1K$2K$5K$10Kfacility $692professional $589

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
$416.87
Median
$933.25
Typical High
$7,585.78
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$316.23
Median
$537.03
Typical High
$1,288.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$933.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$741.31
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$1,023.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$1,096.48
Medcost
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$6,309.57
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$933.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$28,840.32
Wellcare
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,168.69

Where North Carolina sits

The same service costs 7.3 times more in Indiana than in Maryland. 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.

Physician feeFacility fee

North Carolina· 49th of 51

$1,281

$589 physician + $692 facility

IN $7,218MD $993

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.