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Rebuilding a Small Arthritic Joint in the Hand

North Carolina rates for HCPCS 25447

Reconstruction of a worn-out joint between the small bones of the wrist or at the base of the thumb. The damaged joint surfaces are taken out and soft tissue is placed into the gap to act as a cushion, rather than fitting an artificial joint. It is done for arthritis that has made pinching and gripping painful.

Rates data updated July 2026.

How much does Rebuilding a Small Arthritic Joint in the Hand cost?

$3,090

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $3,090 for this service. Most negotiated rates run $1,122 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,090 · 10th to 90th $813 to $12,023Professionalmedian $1,318 · 10th to 90th $1,318 to $1,905
$1K$2K$5K$10Kfacility $3,090professional $1,318

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
$812.83
Median
$6,165.95
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,288.25
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,905.46
Medcost
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$10,964.78
Typical High
$19,498.45
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$42,657.95
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$933.25
Median
$933.25
Typical High
$933.25

Where North Carolina sits

The same service costs 15.8 times more in Wyoming 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.

North Carolina· 40th of 51

$3,090

WY $16,596MD $1,047

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.