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Setting A Broken Upper Arm Without Surgery

New York 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?

$3,874

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

Insurers have agreed to pay about $3,874 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $3,311 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$562$468 to $813
Facility feeThe hospital or surgery center$3,311$1,738 to $5,623

How much rates vary

Facilitymedian $3,311 · 10th to 90th $603 to $7,762Professionalmedian $562 · 10th to 90th $417 to $1,413
$500$1K$2K$5K$10Kfacility $3,311professional $562

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
$549.54
Median
$2,754.23
Typical High
$7,585.78
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$346.74
Median
$457.09
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$537.03
Typical High
$1,288.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$1,230.27
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,258.93
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$1,318.26
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
$467.74
Median
$724.44
Typical High
$1,995.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$1,862.09
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,202.26
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Excellus BCBS
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$676.08
Typical High
$1,096.48
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$23,442.29
Typical High
$53,703.18
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$676.08
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,570.40
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$660.69
Typical High
$2,041.74
Univera
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$1,995.26
Univera
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$295.12
Median
$323.59
Typical High
$436.52
Univera
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$1,412.54

Where New York 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 York· 9th of 51

$3,874

$562 physician + $3,311 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.