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Surgical Repair Of A Forearm Fracture That Failed To Heal

Michigan 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?

$1,349

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,259 from a physician practice, and about $4,898 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 5 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$1,259$1,072 to $1,549
FacilityA hospital or hospital-owned outpatient department$4,898$4,898 to $6,918

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,479 to $11,749Professionalmedian $1,259 · 10th to 90th $1,023 to $2,042
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,898professional $1,259

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
$1,479.11
Median
$4,897.79
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,202.26
Typical High
$1,548.82
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$1,659.59
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,479.11
Typical High
$3,890.45
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,630.78
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$10,000.00
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,445.44
Typical High
$1,905.46

Where Michigan 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.

Michigan $1,349 · 45th 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.