Open Repair Of A Rib Fracture

Nationwide rates for HCPCS 21805

Surgery that opens the chest wall to reach a broken rib and set it back into position, without leaving fixation hardware behind. Each rib treated this way is handled as its own service.

Rates data updated July 2026.

How much does Open Repair Of A Rib Fracture cost?

$4,074

Typical negotiated rate. Nationwide, July 2026.

Insurers have agreed to pay about $4,074 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $5,129 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 24 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$741	$562 to $1,479
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$5,129	$3,388 to $7,586

How much rates vary

Facilitymedian $5,129 · 10th to 90th $891 to $13,490Professionalmedian $741 · 10th to 90th $389 to $3,631

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Facility Modifier Global Typical Low $2,089.30 Median $5,495.41 Typical High $13,489.63	Facility	Global	$2,089.30	$5,495.41	$13,489.63
Cigna Setting Facility Modifier Global Typical Low $676.08 Median $891.25 Typical High $2,511.89	Facility	Global	$676.08	$891.25	$2,511.89
Cigna Setting Professional Modifier Global Typical Low $457.09 Median $707.95 Typical High $1,071.52	Professional	Global	$457.09	$707.95	$1,071.52

What it costs in each state

The same service costs 97.7 times more in California than in Washington. 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.

Touch or drag across the chart to see any state's rate.

CA $5,888WA $60.26

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.