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Surgical Repair Of A Forearm Fracture That Failed To Heal

Virginia 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?

$1,549

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $1,380 from a physician practice, and about $3,467 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 8 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$1,380$1,202 to $1,862
FacilityA hospital or hospital-owned outpatient department$3,467$1,514 to $8,318

How much rates vary

Facilitymedian $3,467 · 10th to 90th $1,202 to $12,303Professionalmedian $1,380 · 10th to 90th $1,096 to $3,236
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,467professional $1,380

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
$5,370.32
Typical High
$10,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,318.26
Typical High
$5,370.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$15,488.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,659.59
Typical High
$2,884.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,513.56
Typical High
$10,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,584.89
Typical High
$2,511.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$1,548.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,344.23
Typical High
$2,691.53
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,513.56
Typical High
$2,398.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,548.82
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,548.82
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$12,302.69
Typical High
$27,542.29
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,479.11
Typical High
$2,398.83

Where Virginia 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.

Virginia $1,549 · 33rd 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.