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Preventive Forearm Bone Reinforcement

Illinois rates for HCPCS 25490

A preventive surgical procedure that reinforces the thumb-side forearm bone (the radius) with hardware such as a rod, pins, plate, or wire, sometimes along with a special bone cement. It is performed before an actual break occurs, usually because a weakened area in the bone puts it at risk of fracturing.

Rates data updated July 2026.

How much does Preventive Forearm Bone Reinforcement cost?

$3,161

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $3,161 for this procedure. That total is two separate charges: $1,023 to the doctor who performs it, and $2,138 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,023$741 to $1,349
Facility feeThe hospital or surgery center$2,138$1,349 to $5,623

How much rates vary

Facilitymedian $2,138 · 10th to 90th $832 to $9,772Professionalmedian $1,023 · 10th to 90th $646 to $1,778
$200$500$1K$2K$5K$10K$20Kfacility $2,138professional $1,023

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
$741.31
Median
$1,862.09
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$10,471.29
Typical High
$16,218.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,174.90
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$1,513.56
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,318.26
Typical High
$3,090.30
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$912.01
Typical High
$1,023.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$81.28
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$6,165.95
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$1,584.89

Where Illinois sits

The same service costs 15.8 times more in Indiana than in West Virginia. 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.

Physician feeFacility fee

Illinois· 38th of 50

$3,161

$1,023 physician + $2,138 facility

IN $23,146WV $1,467

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.