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Setting A Broken Upper Arm Without Surgery

Virginia 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?

$1,308

Typical total for the visit. In Virginia, July 2026.

Insurers have agreed to pay about $1,308 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $759 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$550$490 to $724
Facility feeThe hospital or surgery center$759$550 to $2,344

How much rates vary

Facilitymedian $759 · 10th to 90th $457 to $5,370Professionalmedian $550 · 10th to 90th $437 to $1,148
$500$1K$2K$5K$10Kfacility $759professional $550

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
$501.19
Median
$1,230.27
Typical High
$7,079.46
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$363.08
Median
$407.38
Typical High
$660.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$1,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$1,148.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$851.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$1,174.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$933.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Sentara
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$575.44
Typical High
$1,479.11
Sentara
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$575.44
Typical High
$954.99

Where Virginia 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

Virginia· 45th of 51

$1,308

$550 physician + $759 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.