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Open Wrist Exploration

California rates for HCPCS 25101

Opens the wrist joint through an incision so the surgeon can look directly inside it, take a sample of tissue if needed, and remove any loose fragments or foreign material. It is used when the cause of pain, swelling or catching is not clear from scans, or when something has to be taken out of the joint.

Rates data updated July 2026.

How much does Open Wrist Exploration cost?

$7,244

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $7,244 for this service. Most negotiated rates run $4,898 to $10,471.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,413 · 10th to 90th $2,754 to $15,849Professionalmedian $490 · 10th to 90th $347 to $977
$100$500$2K$10Kfacility $7,413professional $490

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
$2,884.03
Median
$7,079.46
Typical High
$19,054.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$15,848.93
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$5,128.61
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$2,691.53
Typical High
$3,090.30
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$467.74
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$977.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$45,708.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$9,772.37
Typical High
$20,892.96

Where California sits

The same service costs 25.7 times more in Indiana than in West Virginia. 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.

California· 4th of 50

$7,244

IN $10,233WV $398

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.