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Surgical Repair Of A Forearm Fracture That Failed To Heal

Montana 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 Montana, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,698 from a physician practice, and about $1,995 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$1,698$1,230 to $2,042
FacilityA hospital or hospital-owned outpatient department$1,995$1,995 to $2,042

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,585 to $2,399Professionalmedian $1,698 · 10th to 90th $1,096 to $2,570
$100.0$500.0$2.0K$10.0Kfacility $1,995professional $1,698

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
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$6,309.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,698.24
Typical High
$1,995.26
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$2,398.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,041.74
Typical High
$2,398.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,778.28
Typical High
$2,570.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,584.89
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,949.84
Typical High
$2,238.72

Where Montana 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.

Montana $1,862 · 17th 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.