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Skull Reshaping For Early Fused Seams In A Baby

North Carolina rates for HCPCS 61557

Surgery on an infant whose skull bones have joined together too early, distorting the shape of the head and limiting room for the growing brain. A section of skull is lifted as a free plate of bone, reshaped, and refixed in a corrected position so the head takes a more normal contour and the brain has space.

Rates data updated July 2026.

How much does Skull Reshaping For Early Fused Seams In A Baby cost?

$2,239

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $2,239 for this service. The price depends on where it is billed: about $2,138 from a physician practice, and about $2,630 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$2,138$1,622 to $3,890
FacilityA hospital or hospital-owned outpatient department$2,630$1,660 to $6,026

How much rates vary

Facilitymedian $2,630 · 10th to 90th $1,622 to $7,586Professionalmedian $2,138 · 10th to 90th $1,585 to $4,898
$1K$2K$5K$10Kfacility $2,630professional $2,138

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
$1,621.81
Median
$5,370.32
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,778.28
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$3,388.44
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,511.89
Typical High
$4,265.80
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,187.76
Typical High
$3,311.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,137.96
Typical High
$4,570.88
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
$1,513.56
Median
$2,089.30
Typical High
$3,801.89
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$10,232.93
Typical High
$10,232.93
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$15,135.61

Where North Carolina sits

The same service costs 4.8 times more in California than in West Virginia. 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· 28th of 51

$2,239

CA $7,586WV $1,585

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.