go back

Forearm Bone Cyst Removal With Donor Graft

Minnesota rates for HCPCS 25126

A surgery to scrape out or remove a fluid-filled cyst or noncancerous growth from one of the forearm bones, followed by filling the resulting space with donor bone graft material from a bone bank rather than bone taken from the patient's own body. It treats a benign bone lesion while supporting the bone's structure and healing where the growth was removed. It is a more involved version of forearm bone cyst removal than one performed without any graft material.

Rates data updated July 2026.

Facilitymedian $3,548 · 10th–90th $1,023$10,0000%10%10th90th$3,548Professionalmedian $1,445 · 10th–90th $759$2,2910%5%10%10th90th$1,445$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$616.60
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$7,244.36
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,137.96
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,778.28
Typical High
$2,691.53
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,344.23
Typical High
$4,677.35
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,513.56
Typical High
$2,398.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,174.90
Typical High
$6,918.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,122.02
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,011.87
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,148.15
Typical High
$2,290.87