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Surgical Repair Of A Forearm Fracture That Failed To Heal

South Carolina 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 South Carolina, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $12,023 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$1,318$1,148 to $1,549
FacilityA hospital or hospital-owned outpatient department$12,023$2,089 to $21,878

How much rates vary

Facilitymedian $12,023 · 10th to 90th $1,318 to $30,903Professionalmedian $1,318 · 10th to 90th $1,023 to $2,291
$100$1K$10Kfacility $12,023professional $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
$1,318.26
Median
$12,022.64
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,318.26
Typical High
$2,290.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$20,417.38
Typical High
$38,018.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,584.89
Typical High
$2,570.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,096.48
Typical High
$7,244.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,659.59
Typical High
$2,570.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$19,498.45
Typical High
$30,199.52
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,258.93
Typical High
$2,238.72

Where South Carolina sits

The same service costs 5.9 times more in California than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Carolina· 43rd of 51

$1,349

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.