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Setting A Broken Upper Arm Without Surgery

South Dakota 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?

$1,684

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,684 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $813 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$871$525 to $1,023
Facility feeThe hospital or surgery center$813$708 to $1,122

How much rates vary

Facilitymedian $813 · 10th to 90th $603 to $2,291Professionalmedian $871 · 10th to 90th $437 to $1,288
$500$1K$2Kfacility $813professional $871

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
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$338.84
Median
$338.84
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,202.26
Typical High
$1,513.56
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$794.33
Typical High
$1,148.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,047.13
Typical High
$3,801.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,000.00
Typical High
$1,096.48
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$851.14
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$831.76
Typical High
$1,318.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$1,479.11

Where South Dakota 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

South Dakota· 39th of 51

$1,684

$871 physician + $813 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.