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Setting A Broken Bony Bump At The Elbow

Washington, DC rates for HCPCS 24565

Treatment of a break in one of the bony bumps at the lower end of the upper arm bone, at the elbow, where the forearm muscles and ligaments take their hold. Without opening the skin, the doctor manipulates the loose fragment back into a better position, and the arm is then held still in a splint or cast while X-rays check that it stays put. It is a common injury after a fall onto the arm, particularly in children.

Rates data updated July 2026.

How much does Setting A Broken Bony Bump At The Elbow cost?

$589

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $589 for this service. Most negotiated rates run $537 to $1,047.

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.

How much rates vary

Facilitymedian $3,548 · 10th to 90th $537 to $7,762Professionalmedian $589 · 10th to 90th $501 to $871
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,548professional $589

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
$537.03
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$549.54
Typical High
$794.33
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,230.27
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$1,445.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,122.02
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$1,548.82
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$724.44
Typical High
$1,412.54

Where Washington, DC sits

The same service costs 4.1 times more in California than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $589 · 36th of 51
CA $2,188WV $537

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.