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Wrist Joint Replacement, Forearm Bone End

North Carolina rates for HCPCS 25442

This surgery replaces the end of one of the forearm bones at the wrist, on the little-finger side, with an artificial implant. It is used when the joint surface has been badly damaged, such as by arthritis or a previous injury, causing pain and limited movement. Replacing the damaged bone end with a smooth artificial surface relieves pain and helps restore wrist motion.

Rates data updated July 2026.

How much does Wrist Joint Replacement, Forearm Bone End cost?

$2,862

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

Insurers have agreed to pay about $2,862 for this procedure. That total is two separate charges: $1,202 to the doctor who performs it, and $1,660 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,202$832 to $1,549
Facility feeThe hospital or surgery center$1,660$1,047 to $8,710

How much rates vary

Facilitymedian $1,660 · 10th to 90th $794 to $12,589Professionalmedian $1,202 · 10th to 90th $794 to $2,188
$1K$2K$5K$10K$20K$50Kfacility $1,660professional $1,202

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
$794.33
Median
$2,951.21
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$851.14
Typical High
$1,995.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,288.25
Typical High
$26,915.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,778.28
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,862.09
Medcost
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$19,054.61
Typical High
$33,113.11
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$870.96
Typical High
$1,659.59
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$79,432.82
Typical High
$79,432.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$7,079.46

Where North Carolina sits

The same service costs 24.2 times more in Indiana than in West Virginia. 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· 46th of 50

$2,862

$1,202 physician + $1,660 facility

IN $39,756WV $1,645

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.