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Surgical Repair Of A Forearm Fracture That Failed To Heal

Delaware rates for HCPCS 25420

This surgery repairs both bones of the forearm when a previous fracture has either failed to heal or has healed in a poor position. The surgeon repositions the bones and uses a bone graft, tissue that encourages new bone to form, to help them heal solidly this time. It is a more involved repair than treating a single forearm bone alone.

Rates data updated July 2026.

How much does Surgical Repair Of A Forearm Fracture That Failed To Heal cost?

$1,175

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $1,175 from a physician practice, and about $6,026 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 3 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$1,175$1,122 to $1,202
FacilityA hospital or hospital-owned outpatient department$6,026$5,623 to $7,244

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,230 to $7,244Professionalmedian $1,175 · 10th to 90th $1,023 to $2,344
$200.0$500.0$1.0K$2.0K$5.0Kfacility $6,026professional $1,175

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. 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
Global
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,174.90
Typical High
$3,090.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,318.26
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,318.26
Typical High
$2,089.30

Where Delaware sits

The same service costs 5.9 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Delaware $1,175 · 51st of 51
CA $6,918DE $1,175

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.