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Closed Treatment of a Broken Breastbone

Maine rates for HCPCS 21820

Nonsurgical management of a fractured breastbone (sternum), typically involving pain control, activity modification, and monitoring rather than an operation to realign the bone. Most sternum fractures are treated this way because the bone is naturally held in place by the rib cage and surrounding cartilage. Imaging may be used to confirm the fracture and check for injury to the heart or lungs, but no incision or surgical fixation is performed.

Rates data updated July 2026.

How much does Closed Treatment of a Broken Breastbone cost?

$186

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $186 for this service. Most negotiated rates run $148 to $257.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $186 · 10th to 90th $135 to $347
$200$500professional $186

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
Professional
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$181.97
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$229.09
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$213.80
Typical High
$354.81
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$257.04
Typical High
$501.19
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$158.49
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$371.54

Where Maine sits

The same service costs 6.0 times more in California than in Delaware. 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.

Maine· 28th of 51

$186

CA $912DE $151

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.