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Pin Fixation Of A Fracture At The Elbow End

South Dakota rates for HCPCS 24538

A break just above or running through the widened lower end of the upper arm bone is held with pins or wires passed through the skin into the bone, without opening the elbow. The surgeon lines the pieces up and then places the pins under imaging guidance to hold that position while the bone heals. It is used when the fracture needs more stability than a cast alone can give but does not require open surgery.

Rates data updated July 2026.

How much does Pin Fixation Of A Fracture At The Elbow End cost?

$9,866

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

Insurers have agreed to pay about $9,866 for this procedure. That total is two separate charges: $1,549 to the doctor who performs it, and $8,318 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$1,549$813 to $2,138
Facility feeThe hospital or surgery center$8,318$1,950 to $8,318

How much rates vary

Facilitymedian $8,318 · 10th to 90th $1,230 to $14,125Professionalmedian $1,549 · 10th to 90th $676 to $7,762
$1K$2K$5K$10Kfacility $8,318professional $1,549

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
$4,365.16
Median
$8,317.64
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,621.81
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,288.25
Typical High
$1,905.46
Medica
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,348.96
Typical High
$5,888.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,698.24
Typical High
$1,778.28
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,621.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,318.26
Typical High
$2,089.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,621.81
Typical High
$1,905.46

Where South Dakota sits

The same service costs 7.4 times more in Indiana than in Mississippi. 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· 7th of 50

$9,866

$1,549 physician + $8,318 facility

IN $16,301MS $2,210

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.