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Surgical Repair Of A Forearm Fracture That Failed To Heal

New York 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?

$1,820

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,820 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $6,761 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 9 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$1,318$1,148 to $1,995
FacilityA hospital or hospital-owned outpatient department$6,761$3,236 to $11,482

How much rates vary

Facilitymedian $6,761 · 10th to 90th $1,660 to $14,791Professionalmedian $1,318 · 10th to 90th $1,023 to $3,388
$100.0$1.0K$10.0Kfacility $6,761professional $1,318

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
$1,412.54
Median
$4,677.35
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$3,090.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,220.18
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$2,951.21
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,398.83
Typical High
$10,964.78
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,949.84
Typical High
$5,623.41
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,698.24
Typical High
$4,168.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,778.28
Typical High
$2,754.23
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,513.56
Typical High
$2,454.71
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,584.89
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,309.57
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,659.59
Typical High
$5,370.32
Univera
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,380.38
Typical High
$6,456.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,445.44
Typical High
$3,548.13

Where New York 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.

New York $1,820 · 21st 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.