go back

Surgical Repair Of A Forearm Fracture That Failed To Heal

Illinois 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?

$1,862

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,585 from a physician practice, and about $3,236 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 6 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$1,585$1,202 to $2,138
FacilityA hospital or hospital-owned outpatient department$3,236$1,862 to $6,166

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,202 to $10,471Professionalmedian $1,585 · 10th to 90th $1,072 to $2,754
$100.0$1.0K$10.0Kfacility $3,236professional $1,585

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
$1,202.26
Median
$2,630.27
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,202.26
Typical High
$2,754.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$10,964.78
Typical High
$26,302.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,862.09
Typical High
$2,238.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,698.24
Typical High
$2,511.89
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$2,041.74
Typical High
$5,128.61
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,479.11
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$128.82
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,309.57
Typical High
$16,982.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,513.56
Typical High
$2,570.40

Where Illinois 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.

Illinois $1,862 · 18th 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.