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Forearm Fracture With Joint Dislocation Repair

South Dakota 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?

$12,170

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

Insurers have agreed to pay about $12,170 for this procedure. That total is two separate charges: $1,698 to the doctor who performs it, and $10,471 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$1,698$977 to $2,188
Facility feeThe hospital or surgery center$10,471$2,138 to $10,471

How much rates vary

Facilitymedian $10,471 · 10th to 90th $1,479 to $10,471Professionalmedian $1,698 · 10th to 90th $794 to $2,754
$1K$2K$5K$10Kfacility $10,471professional $1,698

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
$4,365.16
Median
$10,471.29
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,238.72
Typical High
$2,754.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,584.89
Typical High
$2,454.71
Medica
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,698.24
Typical High
$7,079.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,137.96
Typical High
$2,137.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,089.30
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,621.81
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,621.81
Typical High
$2,630.27
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,949.84
Typical High
$2,290.87

Where South Dakota 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

South Dakota· 5th of 50

$12,170

$1,698 physician + $10,471 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.