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Application Of A Shoulder Spica Cast

North Carolina rates for HCPCS 29055

A large cast is applied that wraps around the chest and continues down the arm, holding the shoulder in a set position. Keeping the shoulder and upper arm completely still lets a fracture or a repair heal in the right alignment. Padding is put on first and the cast is then moulded to the body.

Rates data updated July 2026.

How much does Application Of A Shoulder Spica Cast cost?

$485

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

Insurers have agreed to pay about $485 for this procedure. That total is two separate charges: $240 to the doctor who performs it, and $245 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$240$178 to $331
Facility feeThe hospital or surgery center$245$186 to $437

How much rates vary

Facilitymedian $245 · 10th to 90th $135 to $813Professionalmedian $240 · 10th to 90th $132 to $479
$200$500$1Kfacility $245professional $240

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
$131.83
Median
$338.84
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$213.80
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$263.03
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$436.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$489.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$223.87
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$891.25
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$199.53
Typical High
$363.08
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,288.25
Typical High
$1,288.25
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,995.26

Where North Carolina sits

The same service costs 16.6 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· 35th of 49

$485

$240 physician + $245 facility

IN $4,072MD $245

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.