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Open Repair Of A Monteggia Elbow Injury

South Dakota rates for HCPCS 24635

Repairs an injury in which one forearm bone is broken and, at the same time, the top of the other forearm bone has slipped out of the elbow joint. Through an incision the surgeon straightens and fixes the broken bone, which usually lets the dislocated bone end return to its proper position in the elbow.

Rates data updated October 2026.

How much does Open Repair Of A Monteggia Elbow Injury cost?

$4,616

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

Insurers have agreed to pay about $4,616 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $3,236 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$1,380$1,023 to $1,622
Facility feeThe hospital or surgery center$3,236$1,096 to $4,365

How much rates vary

Facilitymedian $3,236 · 10th to 90th $977 to $5,888Professionalmedian $1,380 · 10th to 90th $708 to $1,862
$1K$2K$5Kfacility $3,236professional $1,380

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$676.08
Typical High
$831.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$4,677.35
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,513.56
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,584.89
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,513.56
Typical High
$6,918.31
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$4,677.35
Typical High
$6,606.93
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,479.11
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$1,148.15
Typical High
$1,412.54
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$1,318.26
Typical High
$1,862.09
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,380.38
Typical High
$1,621.81

Where South Dakota sits

The same service costs 6.5 times more in Colorado than in Montana. 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· 37th of 51

$4,616

$1,380 physician + $3,236 facility

CO $14,138MT $2,168

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.