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Total Wrist Replacement

North Carolina rates for HCPCS 25446

Replaces the worn-out wrist joint with an artificial one, resurfacing the lower end of the forearm bone and the neighbouring wrist bones with implant components. It is used for a wrist badly damaged by arthritis where pain and loss of motion have not responded to other treatment. The aim is to relieve pain while keeping some wrist movement.

Rates data updated July 2026.

How much does Total Wrist Replacement cost?

$2,291

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $2,291 for this service. Most negotiated rates run $1,479 to $8,710.

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.

How much rates vary

Facilitymedian $2,291 · 10th to 90th $1,148 to $15,136Professionalmedian $1,995 · 10th to 90th $1,995 to $2,692
$1K$2K$5K$10K$20K$50Kfacility $2,291professional $1,995

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$4,365.16
Typical High
$14,454.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,862.09
Typical High
$26,302.68
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,691.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,548.82
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$19,054.61
Typical High
$33,113.11
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$81,283.05
Typical High
$81,283.05

Where North Carolina sits

The same service costs 33.9 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.

North Carolina· 43rd of 50

$2,291

IN $38,905WV $1,148

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.