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Preventive Forearm Bone Reinforcement

South Dakota 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?

$2,767

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $2,767 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $1,479 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,288$776 to $1,660
Facility feeThe hospital or surgery center$1,479$1,122 to $3,548

How much rates vary

Facilitymedian $1,479 · 10th to 90th $871 to $4,365Professionalmedian $1,288 · 10th to 90th $603 to $2,089
$1K$2K$5K$10Kfacility $1,479professional $1,288

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
$707.95
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,659.59
Typical High
$2,089.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$1,737.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,288.25
Typical High
$6,025.60
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$1,621.81
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,584.89
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,174.90
Typical High
$1,995.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,479.11
Typical High
$1,737.80

Where South Dakota 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

South Dakota· 40th of 50

$2,767

$1,288 physician + $1,479 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.