Upper Arm Bone Nonunion Repair With Graft

Nationwide rates for HCPCS 24435

Repairs a break in the upper arm bone that has failed to heal, or has healed crooked, by clearing out the failed site and packing it with bone taken from the patient's own body — commonly from the rim of the pelvis — with the harvesting included in the same operation. The graft supplies living bone cells that restart healing. The arm bone is held steady while the graft takes.

Rates data updated July 2026.

How much does Upper Arm Bone Nonunion Repair With Graft cost?

$8,192

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $8,192 for this procedure. That total is two separate charges: $1,585 to the doctor who performs it, and $6,607 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

19% physician fee81% facility fee

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 56 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$1,585	$1,202 to $2,344
Facility feeThe hospital or surgery center	The hospital or surgery center	$6,607	$3,020 to $12,303

How much rates vary

Facilitymedian $6,607 · 10th to 90th $1,380 to $20,417Professionalmedian $1,585 · 10th to 90th $1,023 to $4,266

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
Aetna Setting Facility Modifier Global Typical Low $1,202.26 Median $4,786.30 Typical High $12,882.50	Facility	Global	$1,202.26	$4,786.30	$12,882.50
BCBS Setting Facility Modifier Global Typical Low $3,630.78 Median $10,471.29 Typical High $26,302.68	Facility	Global	$3,630.78	$10,471.29	$26,302.68
Cigna Setting Facility Modifier Global Typical Low $1,202.26 Median $3,019.95 Typical High $10,471.29	Facility	Global	$1,202.26	$3,019.95	$10,471.29
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $173.78 Median $173.78 Typical High $173.78	Facility	AS · PA/NP assist	$173.78	$173.78	$173.78
United Setting Facility Modifier Global Typical Low $2,884.03 Median $9,332.54 Typical High $22,908.68	Facility	Global	$2,884.03	$9,332.54	$22,908.68

What it costs in each state

The same service costs 4.8 times more in Wisconsin than in South Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

WI $17,647SD $3,639

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.