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Lower Extremity and Humerus Procedures (with CC)

North Carolina rates for MS-DRG 493

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

Rates data updated July 2026.

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

$32,359

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $32,359 for this service. Most negotiated rates run $23,988 to $40,738.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $32,359 · 10th to 90th $20,893 to $50,119
$5K$10K$20K$50Kfacility $32,359

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
$22,908.68
Median
$28,840.32
Typical High
$50,118.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$28,840.32
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$38,018.94
Typical High
$51,286.14
United
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$38,018.94
Typical High
$57,543.99

Where North Carolina sits

The same service costs 3.2 times more in New York than in New Mexico. 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· 32nd of 51

$32,359

NY $66,069NM $20,417

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.