go back

Shoulder, Elbow or Forearm Procedures (with MCC)

North Carolina rates for MS-DRG 510

Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with MCC

Rates data updated July 2026.

How much does Shoulder, Elbow or Forearm Procedures (with MCC) cost?

$35,481

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $35,481 for this service. Most negotiated rates run $28,840 to $46,774.

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 $35,481 · 10th to 90th $23,442 to $58,884
$5K$10K$20K$50Kfacility $35,481

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
$23,442.29
Median
$30,199.52
Typical High
$58,884.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$34,673.69
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$45,708.82
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$42,657.95
Typical High
$69,183.10

Where North Carolina sits

The same service costs 3.7 times more in New York than in Michigan. 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· 38th of 51

$35,481

NY $79,433MI $21,380

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.