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Open Repair of a Broken Breastbone

North Dakota rates for HCPCS 21825

Repairs a fractured sternum, the flat bone down the center of the chest, through an incision, putting the pieces back into line and holding them there with wires, plates, or screws where fixation is needed. It is done when the break is unstable, badly displaced, or too painful to breathe against. Stabilizing the bone eases the pain and lets the person breathe deeply again.

Rates data updated October 2026.

How much does Open Repair of a Broken Breastbone cost?

$4,358

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $4,358 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $3,236 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,122$891 to $1,318
Facility feeThe hospital or surgery center$3,236$537 to $4,898

How much rates vary

Facilitymedian $3,236 · 10th to 90th $537 to $5,495Professionalmedian $1,122 · 10th to 90th $562 to $1,445
$100$200$500$1K$2K$5Kfacility $3,236professional $1,122

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$537.03
Typical High
$691.83
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,230.27
Typical High
$1,445.44
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,202.26
Median
$1,479.11
Typical High
$1,737.80
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$691.83
Median
$870.96
Typical High
$1,023.29
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$100.00
Median
$123.03
Typical High
$144.54
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$741.31
Median
$933.25
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$1,122.02
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
None
Typical Low
$537.03
Median
$3,235.94
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$1,000.00
Typical High
$1,380.38
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$4,897.79
Typical High
$5,495.41
United
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$1,000.00
Typical High
$1,071.52

Where North Dakota sits

The same service costs 6.5 times more in Alaska than in Montana. 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.

Physician feeFacility fee

North Dakota· 34th of 51

$4,358

$1,122 physician + $3,236 facility

AK $12,011MT $1,848

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.