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Repair of an Upper Thigh Bone Break With a Rod

North Carolina rates for HCPCS 27245

Surgery for a break in the upper thigh bone near the hip, fixed with a metal rod running down the hollow center of the bone. Screws passed through the rod hold the broken pieces in position while the bone heals, and a wire loop is sometimes added around the shaft. The rod shares the load along the length of the bone, which often allows earlier weight-bearing.

Rates data updated July 2026.

How much does Repair of an Upper Thigh Bone Break With a Rod cost?

$2,138

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $2,138 for this service. Most negotiated rates run $1,445 to $8,128.

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 $2,138 · 10th to 90th $1,202 to $11,482Professionalmedian $2,455 · 10th to 90th $2,455 to $2,818
$100$500$2K$10Kfacility $2,138professional $2,455

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
$1,202.26
Median
$4,570.88
Typical High
$11,481.54
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$891.25
Median
$1,445.44
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,818.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,659.59
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$10,964.78
Typical High
$19,498.45
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$26,915.35
Typical High
$26,915.35
Wellcare
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$19,054.61
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53

Where North Carolina sits

The same service costs 81.3 times more in Wyoming than in Delaware. 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· 41st of 50

$2,138

WY $14,791DE $182

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.