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Surgical Repair Of A Forearm Fracture That Failed To Heal

Pennsylvania 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?

$1,318

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $5,370 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$1,202$1,122 to $1,479
FacilityA hospital or hospital-owned outpatient department$5,370$3,548 to $7,244

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,202 to $8,511Professionalmedian $1,202 · 10th to 90th $1,047 to $1,862
$10.0$100.0$1.0K$10.0Kfacility $5,370professional $1,202

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
$5,370.32
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,202.26
Typical High
$1,737.80
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$2,137.96
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
$1,000.00
Median
$1,479.11
Typical High
$2,344.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,698.24
Typical High
$2,187.76
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,479.11
Typical High
$2,398.83
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,786.30
Typical High
$8,511.38
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,202.26
Typical High
$5,011.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$1,621.81
Typical High
$1,737.80
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,398.83
Typical High
$4,168.69
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,148.15
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,165.95
Typical High
$21,379.62
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,412.54
Typical High
$2,344.23

Where Pennsylvania 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.

Pennsylvania $1,318 · 47th 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.