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Setting A Broken Bony Bump At The Elbow

Montana 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 October 2026.

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

$1,664

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $1,664 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $851 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$813$676 to $891
Facility feeThe hospital or surgery center$851$813 to $1,047

How much rates vary

Facilitymedian $851 · 10th to 90th $646 to $1,175Professionalmedian $813 · 10th to 90th $525 to $912
$100$200$500$1K$2Kfacility $851professional $813

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$575.44
Typical High
$1,023.29
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$891.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,412.54
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$812.83
Typical High
$891.25
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$851.14
Typical High
$1,122.02
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$831.76
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,412.54
Typical High
$3,981.07
Providence
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$741.31
Typical High
$891.25
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$851.14
Typical High
$977.24

Where Montana sits

The same service costs 4.8 times more in Colorado than in Florida. 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

Montana· 27th of 51

$1,664

$813 physician + $851 facility

CO $4,494FL $939

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.