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Setting A Broken Upper Arm Without Surgery

North Carolina rates for HCPCS 24505

Realigns a break in the shaft of the upper arm bone by manipulating it back into position through the skin, then holding it with a brace, cast or splint, and sometimes traction, while it heals. No incision is made and no plate or rod is placed. Alignment is rechecked with X-rays over the following weeks.

Rates data updated July 2026.

How much does Setting A Broken Upper Arm Without Surgery cost?

$1,433

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,433 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $741 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$692$501 to $955
Facility feeThe hospital or surgery center$741$513 to $1,479

How much rates vary

Facilitymedian $741 · 10th to 90th $447 to $2,951Professionalmedian $692 · 10th to 90th $447 to $1,349
$500$1K$2K$5Kfacility $741professional $692

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
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,122.02
Typical High
$5,248.07
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$331.13
Median
$575.44
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$1,348.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$812.83
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$1,096.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,174.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$512.86
Typical High
$954.99
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$19,498.45
Wellcare
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$4,466.84

Where North Carolina sits

The same service costs 8.0 times more in Indiana than in Maryland. 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 Carolina· 43rd of 51

$1,433

$692 physician + $741 facility

IN $6,656MD $832

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.