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Delaware

Cost of a Carpal Tunnel Surgery Visit
in Delaware

Reviewed by Momentary Medical Group West PC

Delaware's compact geography creates concentrated medical expertise along the I-95 corridor, with most Carpal Tunnel Surgery providers serving patients across New Castle, Kent, and Sussex counties. Patients typically pay between $354 and $1,957 for carpal tunnel surgery, with a median cost of $612 based on negotiated insurance rates. Delaware has 77 active providers offering carpal tunnel surgery services, giving patients multiple options within the state's accessible healthcare network.

Average

$974

Median

$612

Lowest

$354

Highest

$1,957

Providers

77

National avg: $758Delaware: $974

29% above national average

Compare Similar Procedures

How does carpal tunnel surgery compare to related procedures in Delaware?

ProcedureCPTLowMedianHighProviders
Knee Replacement

Total knee replacement (arthroplasty)

27447$1,005$1,687$6,05178
Hip Replacement

Total hip replacement (arthroplasty)

27130$80$1,574$6,06091
Cataract Surgery

Cataract extraction with intraocular lens insertion

66984$343$691$2,13583
Knee Arthroscopy

Arthroscopy of the knee with meniscectomy

29881$412$640$2,41080
Gallbladder Removal (Laparoscopic)

Laparoscopic cholecystectomy

47562$416$773$2,07381
Appendectomy (Laparoscopic)

Laparoscopic appendectomy

44970$80$622$1,89399
Hysterectomy (Laparoscopic)

Laparoscopic total hysterectomy

58571$85$1,038$3,20183
Septoplasty

Nasal septum repair

30520$449$726$2,16078
Tonsillectomy

Tonsillectomy, primary or secondary

42820$154$319$69882
Inguinal Hernia Repair

Inguinal hernia repair

49505$330$602$1,43579
Mastectomy

Partial or simple mastectomy

19301$95$705$2,64284

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 64721Neuroplasty and/or transposition; median nerve at carpal tunnel). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 64721 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 64721 (Neuroplasty and/or transposition; median nerve at carpal tunnel), as mandated by the CMS Price Transparency Rule.

What CPT 64721 covers: the provider's professional fee for carpal tunnel surgery. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Carpal Tunnel Surgery Visit Costs Vary Across Delaware

Healthcare costs in Delaware run approximately 11% above national averages, reflecting the state's proximity to high-cost northeastern markets and limited provider competition. The state's small size concentrates most surgical expertise in the Wilmington metropolitan area, creating price disparities between northern and southern Delaware.

Urban vs. Rural Provider Availability

Most carpal tunnel surgery providers cluster in New Castle County near Wilmington, with limited options in Kent and Sussex counties forcing some patients to travel north for specialized care. This geographic concentration allows northern Delaware providers to maintain higher prices, while southern Delaware residents may face longer wait times and travel costs.

Facility Type and Overhead Costs

Delaware's healthcare market includes major health systems like ChristianaCare and Bayhealth, along with smaller independent surgical centers that often offer competitive pricing for carpal tunnel procedures. Hospital-based outpatient departments typically charge facility fees that can add $500-1,500 to the total cost compared to freestanding ambulatory surgery centers.

Insurance Market Competition in Delaware

The Delaware insurance market has moderate competition with Highmark holding significant market share alongside Aetna and UnitedHealthcare. This concentration allows insurers to negotiate favorable rates with providers but can limit patient choice, particularly in rural areas where network options are more restricted.

Physician Supply and Demand in Delaware

With 77 active providers offering carpal tunnel surgery across Delaware's small population, the state has adequate surgical capacity relative to demand. This reasonable supply helps moderate pricing compared to shortage areas, though the concentration of providers in northern Delaware creates some geographic access challenges for residents in the lower counties.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Carpal Tunnel Surgery Costs in Delaware

What is the average cost of a Carpal Tunnel Surgery visit in Delaware without insurance?

Without insurance, carpal tunnel surgery in Delaware typically costs between $354 and $1,957, with a median price of $612 based on negotiated rates from insurance data. Self-pay patients often receive discounts of 30-50% off these rates, making the actual out-of-pocket cost potentially lower. Many providers offer payment plans to make the procedure more affordable for uninsured patients.

Does Delaware Medicaid cover Carpal Tunnel Surgery visits?

Yes, Delaware Medicaid covers medically necessary carpal tunnel surgery when conservative treatments have been tried and failed. As a Medicaid expansion state since 2014, Delaware provides coverage for eligible adults, typically requiring documentation of symptoms and prior conservative treatment attempts. Prior authorization is usually required, and the surgery must be performed by a Medicaid-participating provider.

How do I find an affordable Carpal Tunnel Surgery near me in Delaware?

Compare costs between hospital-based outpatient centers and ambulatory surgery centers, as the latter often charge significantly less in facility fees. Ask about self-pay discounts if you're uninsured, and consider traveling to different counties within Delaware where prices may vary. Community health centers and federally qualified health centers may offer sliding scale fees for qualifying patients.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial consultations for carpal tunnel evaluation typically cost more than follow-up visits due to the comprehensive nature of the first appointment, including detailed history, physical examination, and often diagnostic testing. Follow-up visits after surgery are generally shorter and focus on wound healing and recovery progress. The specific cost difference depends on your insurance plan's copay structure for new versus established patient visits.

Can I use an HSA or FSA to pay for a Carpal Tunnel Surgery visit in Delaware?

Yes, carpal tunnel surgery is considered a qualified medical expense eligible for HSA or FSA reimbursement. This includes the surgeon's fee, facility costs, anesthesia, and related pre-operative testing like nerve conduction studies. Keep all receipts and documentation, as these accounts can significantly reduce your out-of-pocket costs through pre-tax savings.

How does telemedicine affect the cost of seeing a Carpal Tunnel Surgery in Delaware?

While the actual surgery must be performed in person, initial consultations and post-operative follow-ups can sometimes be conducted via telemedicine in Delaware, potentially reducing overall costs. Telehealth visits typically cost less than in-person appointments and eliminate travel time, though physical examination limitations mean most carpal tunnel evaluations still require in-person assessment. Some providers offer hybrid care models combining telemedicine consultations with targeted in-person visits.

Click a state to compare costs

Average Visit Cost

$274
$2,063

Office visit (CPT 64721)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $85$5,357
$2,063
2North Dakota
Range: $319$2,591
$1,168
3Rhode Island
Range: $364$1,957
$1,066
4Massachusetts
Range: $338$1,957
$1,005
5Minnesota
Range: $358$1,930
$1,003
6Delaware
Range: $354$1,957
$974
7Georgia
Range: $344$1,930
$973
8West Virginia
Range: $342$2,006
$972
9New York
Range: $320$1,963
$969
10New Jersey
Range: $265$2,119
$968
11Connecticut
Range: $311$1,957
$962
12Alaska
Range: $364$1,957
$961
13Kentucky
Range: $340$1,957
$954
14Pennsylvania
Range: $317$1,957
$937
15District of Columbia
Range: $328$1,686
$917
16Oregon
Range: $90$1,930
$888
17Wyoming
Range: $519$1,358
$865
18Nebraska
Range: $513$1,068
$840
19New Hampshire
Range: $429$1,267
$838
20Washington
Range: $490$1,221
$793
21Iowa
Range: $361$1,068
$787
22California
Range: $80$1,930
$757
23Maine
Range: $519$888
$753
24Utah
Range: $265$988
$728
25North Carolina
Range: $349$1,241
$727
26Colorado
Range: $364$1,110
$701
27New Mexico
Range: $385$1,031
$683
28Illinois
Range: $372$1,070
$679
29Hawaii
Range: $358$1,040
$667
30South Dakota
Range: $296$1,068
$662
31Indiana
Range: $291$1,070
$640
32Vermont
Range: $338$1,053
$637
33Michigan
Range: $359$1,068
$628
34South Carolina
Range: $334$1,030
$610
35Louisiana
Range: $294$979
$593
36Alabama
Range: $294$910
$590
37Missouri
Range: $402$726
$581
38Idaho
Range: $90$1,031
$567
39Virginia
Range: $309$920
$564
40Arkansas
Range: $294$790
$560
41Maryland
Range: $318$920
$552
42Tennessee
Range: $332$804
$546
43Oklahoma
Range: $345$823
$531
44Kansas
Range: $402$670
$526
45Mississippi
Range: $332$826
$520
46Montana
Range: $90$979
$513
47Nevada
Range: $352$746
$512
48Ohio
Range: $268$797
$506
49Texas
Range: $90$895
$484
50Arizona
Range: $352$729
$482
51Florida
Range: $35$733
$274
Carpal Tunnel Surgery in Other States