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Shoulder, Elbow or Forearm Procedures (with CC)

North Carolina rates for MS-DRG 511

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

Rates data updated July 2026.

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

$25,704

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $25,704 for this service. Most negotiated rates run $19,953 to $32,359.

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 $25,704 · 10th to 90th $17,783 to $40,738
$5K$10K$20K$50Kfacility $25,704

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
$18,620.87
Median
$23,988.33
Typical High
$40,738.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$23,988.33
Typical High
$38,904.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$31,622.78
Typical High
$41,686.94
United
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$28,840.32
Typical High
$47,863.01

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· 33rd of 51

$25,704

NY $53,703NM $16,596

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.