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Open Repair of a Broken Breastbone

Vermont 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?

$891

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $891 for this service. Most negotiated rates run $676 to $977.

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.

How much rates vary

Facilitymedian $2,692 · 10th to 90th $468 to $10,471Professionalmedian $832 · 10th to 90th $617 to $1,148
$500$1K$2K$5K$10Kfacility $2,692professional $832

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
Professional
Modifier
None
Typical Low
$645.65
Median
$676.08
Typical High
$676.08
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$10,471.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$977.24
Typical High
$1,000.00
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$758.58
Typical High
$891.25
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
United
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$758.58
Typical High
$1,288.25

Where Vermont sits

The same service costs 8.1 times more in Alaska than in Texas. 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.

Vermont· 18th of 51

$891

AK $2,239TX $275

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.