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Forearm Fracture With Joint Dislocation Repair

New York rates for HCPCS 25526

This surgery repairs a fracture in one of the two long bones of the forearm that occurs together with a dislocation of a nearby joint, through an open incision, using plates, screws, or rods to hold the bone in place while it heals. It is used when this combined fracture-and-dislocation pattern needs surgical stabilization to heal properly and restore normal joint alignment.

Rates data updated July 2026.

How much does Forearm Fracture With Joint Dislocation Repair cost?

$8,040

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $8,040 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $6,918 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,122$933 to $1,660
Facility feeThe hospital or surgery center$6,918$3,715 to $11,482

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,349 to $14,454Professionalmedian $1,122 · 10th to 90th $851 to $2,884
$1K$2K$5K$10K$20Kfacility $6,918professional $1,122

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
$1,202.26
Median
$4,897.79
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,071.52
Typical High
$2,691.53
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,220.18
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,000.00
Typical High
$2,398.83
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,630.27
Typical High
$12,302.69
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,584.89
Typical High
$4,570.88
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,698.24
Typical High
$3,467.37
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,445.44
Typical High
$2,238.72
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$2,041.74
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,318.26
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,309.57
Typical High
$15,488.17
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,380.38
Typical High
$4,365.16
Univera
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$5,011.87
Univera
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$2,884.03

Where New York sits

The same service costs 12.1 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

New York· 16th of 50

$8,040

$1,122 physician + $6,918 facility

IN $23,387WV $1,933

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.