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Repair Of Graft-To-Bowel Fistula

North Carolina rates for HCPCS 35870

Repairs an abnormal connection that has formed between an artificial blood vessel graft and the intestine, where the graft has eroded into the bowel wall. Because bowel contents and blood are meeting, this causes bleeding into the digestive tract and serious infection, and it must be treated surgically. The bowel is repaired and the affected graft area is dealt with at the same operation.

Rates data updated July 2026.

How much does Repair Of Graft-To-Bowel Fistula cost?

$1,698

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,698 for this service. The price depends on where it is billed: about $1,622 from a physician practice, and about $2,188 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,622$1,318 to $2,754
FacilityA hospital or hospital-owned outpatient department$2,188$1,445 to $4,786

How much rates vary

Facilitymedian $2,188 · 10th to 90th $1,202 to $7,586Professionalmedian $1,622 · 10th to 90th $1,202 to $3,890
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,188professional $1,622

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
$1,202.26
Median
$3,019.95
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,380.38
Typical High
$4,365.16
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,041.74
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,995.26
Typical High
$3,311.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,862.09
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$3,162.28
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$7,585.78
Typical High
$7,585.78
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61

Where North Carolina sits

The same service costs 6.0 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $1,698 · 33rd of 51
CA $8,318WV $1,380

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.