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Surgical Repair Of A Forearm Fracture That Failed To Heal

South Dakota 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?

$1,995

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $2,042 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 7 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$1,995$1,202 to $2,692
FacilityA hospital or hospital-owned outpatient department$2,042$1,820 to $3,162

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,380 to $4,365Professionalmedian $1,995 · 10th to 90th $977 to $3,311
$1.0K$2.0K$5.0K$10.0Kfacility $2,042professional $1,995

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$4,365.16
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,148.15
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,691.53
Typical High
$3,311.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,949.84
Typical High
$3,019.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$2,089.30
Typical High
$8,709.64
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,630.27
Typical High
$2,630.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,511.89
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,949.84
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,995.26
Typical High
$3,162.28
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,344.23
Typical High
$2,754.23

Where South Dakota 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.

South Dakota $1,995 · 13th 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.