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Setting A Broken Upper Arm Without Surgery

West 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?

$1,193

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

Insurers have agreed to pay about $1,193 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $692 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$501$457 to $575
Facility feeThe hospital or surgery center$692$490 to $692

How much rates vary

Facilitymedian $692 · 10th to 90th $447 to $813Professionalmedian $501 · 10th to 90th $407 to $977
$500$1K$2Kfacility $692professional $501

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
$691.83
Typical High
$691.83
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$331.13
Median
$363.08
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$977.24
CareSource
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$588.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
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
$446.68
Median
$660.69
Typical High
$3,311.31
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$954.99
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$537.03
Typical High
$776.25

Where West 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

West Virginia· 50th of 51

$1,193

$501 physician + $692 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.