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Nursemaid's Elbow Reduction

Hawaii rates for HCPCS 24640

This procedure treats nursemaid's elbow, a common injury in young children where the head of one of the forearm bones partially slips out of place at the elbow, often after the arm is pulled or tugged, by gently manipulating the joint back into normal position without surgery. The maneuver is quick and typically relieves pain and restores arm use almost immediately.

Rates data updated October 2026.

How much does Nursemaid's Elbow Reduction cost?

$135

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $955 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$81.28 to $138
FacilityA hospital or hospital-owned outpatient department$955$617 to $1,122

How much rates vary

Facilitymedian $955 · 10th to 90th $269 to $2,818Professionalmedian $135 · 10th to 90th $30 to $191
$50$100$200$500$1K$2Kfacility $955professional $135

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
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$109.65
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$123.03
Typical High
$154.88
United
Setting
Facility
Modifier
None
Typical Low
$269.15
Median
$616.60
Typical High
$1,122.02
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$134.90
Typical High
$134.90
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$128.82
Typical High
$190.55

Where Hawaii sits

The same service costs 3.9 times more in Alaska 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.

Hawaii· 19th of 51

$135

AK $324FL $83.18

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.