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Nursemaid's Elbow Reduction

North Dakota 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 July 2026.

How much does Nursemaid's Elbow Reduction cost?

$174

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $174 for this service. The price depends on where it is billed: about $174 from a physician practice, and about $107 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$174$117 to $257
FacilityA hospital or hospital-owned outpatient department$107$81.28 to $490

How much rates vary

Facilitymedian $107 · 10th to 90th $79 to $562Professionalmedian $174 · 10th to 90th $79 to $316
$100$200$500$1K$2K$5Kfacility $107professional $174

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
$79.43
Median
$107.15
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$354.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$288.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$199.53
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$158.49
Typical High
$234.42

Where North Dakota sits

The same service costs 2.9 times more in California than in Delaware. 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.

North Dakota· 12th of 51

$174

CA $288DE $100

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.