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Setting A Broken Upper Arm Without Surgery

New Jersey 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?

$4,980

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $4,980 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $4,467 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$513$457 to $794
Facility feeThe hospital or surgery center$4,467$2,291 to $6,761

How much rates vary

Facilitymedian $4,467 · 10th to 90th $513 to $10,471Professionalmedian $513 · 10th to 90th $407 to $2,291
$500$1K$2K$5K$10Kfacility $4,467professional $513

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
$489.78
Median
$4,570.88
Typical High
$10,471.29
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$338.84
Median
$457.09
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$489.78
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$1,513.56
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$724.44
Typical High
$1,000.00
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$5,370.32
Typical High
$8,128.31
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,818.38
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$1,174.90

Where New Jersey 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

New Jersey· 3rd of 51

$4,980

$513 physician + $4,467 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.