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Removal Of Wrist Bone Cyst With Donor Bone Filling

Utah rates for HCPCS 25136

This is a surgery to scrape or cut out a benign cyst or growth from inside one of the small bones of the wrist, then pack the resulting cavity with donor bone from a tissue bank rather than bone taken from the patient's own body.

Rates data updated July 2026.

How much does Removal Of Wrist Bone Cyst With Donor Bone Filling cost?

$692

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $5,888 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 7 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$692$490 to $1,023
FacilityA hospital or hospital-owned outpatient department$5,888$3,388 to $7,943

How much rates vary

Facilitymedian $5,888 · 10th to 90th $692 to $10,233Professionalmedian $692 · 10th to 90th $468 to $2,818
$50$200$1K$5K$20Kfacility $5,888professional $692

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
$691.83
Median
$4,570.88
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$954.99
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$14,125.38
Typical High
$21,379.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$1,174.90
Select Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Select Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$851.14
Typical High
$1,000.00
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$758.58
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$851.14

Where Utah sits

The same service costs 9.8 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.

Utah· 31st of 51

$692

CA $4,898DE $501

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.