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Near-Total Pancreas Removal, Duodenum Spared

North Carolina rates for HCPCS 48146

Removes nearly all of the pancreas while deliberately leaving the first stretch of small intestine, the duodenum, and its blood supply untouched. Sparing the duodenum avoids the larger rebuild of the stomach, bile duct, and intestine connections that a wider removal would need. It is used for disease affecting most of the gland, such as long-standing painful inflammation.

Rates data updated July 2026.

How much does Near-Total Pancreas Removal, Duodenum Spared cost?

$4,921

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

Insurers have agreed to pay about $4,921 for this procedure. That total is two separate charges: $2,630 to the doctor who performs it, and $2,291 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,630$2,089 to $3,715
Facility feeThe hospital or surgery center$2,291$1,862 to $3,090

How much rates vary

Facilitymedian $2,291 · 10th to 90th $1,660 to $6,166Professionalmedian $2,630 · 10th to 90th $1,820 to $5,248
$500$1K$2K$5K$10Kfacility $2,291professional $2,630

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
$1,659.59
Median
$5,248.07
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,995.26
Typical High
$3,715.35
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,630.27
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,511.89
Typical High
$4,570.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,238.72
Typical High
$3,630.78
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$5,011.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$2,041.74
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,995.26
Typical High
$3,715.35
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$11,748.98
Typical High
$11,748.98
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$16,218.10

Where North Carolina sits

The same service costs 6.4 times more in Maine 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· 37th of 50

$4,921

$2,630 physician + $2,291 facility

ME $15,473MD $2,432

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.