go back

Lower Extremity and Humerus Procedures (with MCC)

North Carolina rates for MS-DRG 492

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur with MCC

Rates data updated October 2026.

How much does Lower Extremity and Humerus Procedures (with MCC) cost?

$54,954

Typical facility fee. In North Carolina, October 2026.

Insurers have agreed to pay about $54,954 for this service. Most negotiated rates run $38,905 to $74,131.

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.

How much rates vary

Facilitymedian $54,954 · 10th to 90th $28,840 to $79,433
$5K$10K$20K$50K$100Kfacility $54,954

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$39,810.72
Typical High
$72,443.60
Ambetter
Setting
Facility
Modifier
None
Typical Low
$39,810.72
Median
$39,810.72
Typical High
$39,810.72
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$23,988.33
Median
$42,657.95
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$53,703.18
Typical High
$75,857.76
Medcost
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$28,840.32
Typical High
$44,668.36
United
Setting
Facility
Modifier
None
Typical Low
$42,657.95
Median
$74,131.02
Typical High
$87,096.36

Where North Carolina sits

The same service costs 363.1 times more in Alaska than in Hawaii. 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

$54,954

AK $100,000HI $275

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.