Cost of a Carpal Tunnel Surgery Visit
in North Dakota
Reviewed by Momentary Medical Group West PC
North Dakota's sparse population density of just 11 people per square mile creates unique challenges for surgical specialty care access across the state's rural communities. Carpal Tunnel Surgery patients typically pay between $319 and $2,591 for their procedure, with a median out-of-pocket cost of $596 based on current negotiated rates with insurers. The state maintains 38 active providers offering carpal tunnel procedures, allowing patients to browse all available specialists throughout North Dakota.
Average
$1,168
Median
$596
Lowest
$319
Highest
$2,591
Providers
38
54% above national average
Compare Similar Procedures
How does carpal tunnel surgery compare to related procedures in North Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $1,198 | $1,894 | $3,475 | 37 |
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $91 | $91 | $2,019 | 455 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $80 | $746 | $1,609 | 41 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $331 | $752 | $1,591 | 43 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $691 | $6,146 | $6,146 | 470 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $800 | $1,767 | 55 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $610 | $1,240 | $2,597 | 40 |
| Septoplasty Nasal septum repair | 30520 | $381 | $849 | $1,627 | 42 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $237 | $399 | $820 | 38 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $437 | $709 | $1,537 | 39 |
| Mastectomy Partial or simple mastectomy | 19301 | $478 | $885 | $1,820 | 40 |
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 64721 — Neuroplasty 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 North Dakota
North Dakota's Carpal Tunnel Surgery costs run approximately 4% above national averages, reflecting the state's limited provider competition and higher operational costs in rural markets. The concentration of specialists in Fargo, Bismarck, and Grand Forks creates cost variations across the state's geographically dispersed communities.
Urban vs. Rural Provider Availability
Fargo-Moorhead and Bismarck-Mandan metropolitan areas host the majority of North Dakota's carpal tunnel specialists, while rural counties often require patients to travel significant distances for surgical care. This geographic concentration allows urban providers to maintain higher volume practices but may limit price competition. Rural patients frequently face additional lodging and transportation costs that effectively increase their total procedure expenses.
Facility Type and Overhead Costs
Sanford Health and Essentia Health operate major hospital systems throughout North Dakota, with their employed surgeons typically charging higher facility fees than independent practitioners. Ambulatory surgery centers in larger cities often provide cost advantages over hospital outpatient departments for routine carpal tunnel procedures. The state's harsh winters and energy costs contribute to higher facility overhead expenses year-round.
Insurance Market Competition in North Dakota
Blue Cross Blue Shield of North Dakota maintains the largest market share, followed by Sanford Health Plan and UnitedHealthcare, creating limited insurer competition for negotiated rates. The state's small population and geographic challenges result in fewer insurance options compared to more populous states. This concentrated market structure can lead to higher negotiated rates between insurers and the limited pool of available surgical specialists.
Physician Supply and Demand in North Dakota
With 38 active providers offering carpal tunnel surgery across the state, North Dakota maintains adequate surgical capacity relative to its population of 760,000 residents. The state's medical school and residency programs help retain some specialists locally, though recruitment remains challenging in rural areas. Limited competition among surgeons in smaller markets can result in higher fees, while urban areas see more competitive pricing.
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.
Frequently Asked Questions — Carpal Tunnel Surgery Costs in North Dakota
What is the average cost of a Carpal Tunnel Surgery visit in North Dakota without insurance?
Does North Dakota Medicaid cover Carpal Tunnel Surgery visits?
How do I find an affordable Carpal Tunnel Surgery near me in North Dakota?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Carpal Tunnel Surgery visit in North Dakota?
How does telemedicine affect the cost of seeing a Carpal Tunnel Surgery in North Dakota?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 64721)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $85 – $5,357 | $2,063 |
| 2 | North Dakota Range: $319 – $2,591 | $1,168 |
| 3 | Rhode Island Range: $364 – $1,957 | $1,066 |
| 4 | Massachusetts Range: $338 – $1,957 | $1,005 |
| 5 | Minnesota Range: $358 – $1,930 | $1,003 |
| 6 | Delaware Range: $354 – $1,957 | $974 |
| 7 | Georgia Range: $344 – $1,930 | $973 |
| 8 | West Virginia Range: $342 – $2,006 | $972 |
| 9 | New York Range: $320 – $1,963 | $969 |
| 10 | New Jersey Range: $265 – $2,119 | $968 |
| 11 | Connecticut Range: $311 – $1,957 | $962 |
| 12 | Alaska Range: $364 – $1,957 | $961 |
| 13 | Kentucky Range: $340 – $1,957 | $954 |
| 14 | Pennsylvania Range: $317 – $1,957 | $937 |
| 15 | District of Columbia Range: $328 – $1,686 | $917 |
| 16 | Oregon Range: $90 – $1,930 | $888 |
| 17 | Wyoming Range: $519 – $1,358 | $865 |
| 18 | Nebraska Range: $513 – $1,068 | $840 |
| 19 | New Hampshire Range: $429 – $1,267 | $838 |
| 20 | Washington Range: $490 – $1,221 | $793 |
| 21 | Iowa Range: $361 – $1,068 | $787 |
| 22 | California Range: $80 – $1,930 | $757 |
| 23 | Maine Range: $519 – $888 | $753 |
| 24 | Utah Range: $265 – $988 | $728 |
| 25 | North Carolina Range: $349 – $1,241 | $727 |
| 26 | Colorado Range: $364 – $1,110 | $701 |
| 27 | New Mexico Range: $385 – $1,031 | $683 |
| 28 | Illinois Range: $372 – $1,070 | $679 |
| 29 | Hawaii Range: $358 – $1,040 | $667 |
| 30 | South Dakota Range: $296 – $1,068 | $662 |
| 31 | Indiana Range: $291 – $1,070 | $640 |
| 32 | Vermont Range: $338 – $1,053 | $637 |
| 33 | Michigan Range: $359 – $1,068 | $628 |
| 34 | South Carolina Range: $334 – $1,030 | $610 |
| 35 | Louisiana Range: $294 – $979 | $593 |
| 36 | Alabama Range: $294 – $910 | $590 |
| 37 | Missouri Range: $402 – $726 | $581 |
| 38 | Idaho Range: $90 – $1,031 | $567 |
| 39 | Virginia Range: $309 – $920 | $564 |
| 40 | Arkansas Range: $294 – $790 | $560 |
| 41 | Maryland Range: $318 – $920 | $552 |
| 42 | Tennessee Range: $332 – $804 | $546 |
| 43 | Oklahoma Range: $345 – $823 | $531 |
| 44 | Kansas Range: $402 – $670 | $526 |
| 45 | Mississippi Range: $332 – $826 | $520 |
| 46 | Montana Range: $90 – $979 | $513 |
| 47 | Nevada Range: $352 – $746 | $512 |
| 48 | Ohio Range: $268 – $797 | $506 |
| 49 | Texas Range: $90 – $895 | $484 |
| 50 | Arizona Range: $352 – $729 | $482 |
| 51 | Florida Range: $35 – $733 | $274 |