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Preventive Forearm Bone Reinforcement

North Carolina 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?

$2,555

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $2,555 for this procedure. That total is two separate charges: $1,175 to the doctor who performs it, and $1,380 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$1,175$759 to $1,413
Facility feeThe hospital or surgery center$1,380$933 to $6,026

How much rates vary

Facilitymedian $1,380 · 10th to 90th $708 to $8,913Professionalmedian $1,175 · 10th to 90th $708 to $1,995
$1K$2K$5K$10K$20Kfacility $1,380professional $1,175

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
$707.95
Median
$2,454.71
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$1,995.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,380.38
Typical High
$2,137.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,174.90
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$1,659.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,659.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$10,964.78
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$812.83
Typical High
$1,513.56
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,309.57

Where North Carolina 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

North Carolina· 44th of 50

$2,555

$1,175 physician + $1,380 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.