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Forearm Fracture Treatment, Both Bones, Without Surgery

South Dakota rates for HCPCS 25560

This treats a fracture involving both of the forearm bones, the radius and ulna, at the same time, using a cast rather than surgery. It applies when the broken pieces are already aligned well enough that they don't need to be manually repositioned. It is followed by a period of immobilization while the bones heal.

Rates data updated July 2026.

How much does Forearm Fracture Treatment, Both Bones, Without Surgery cost?

$468

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $468 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$468$269 to $589
FacilityA hospital or hospital-owned outpatient department$468$389 to $646

How much rates vary

Facilitymedian $468 · 10th to 90th $331 to $2,291Professionalmedian $468 · 10th to 90th $240 to $724
$200$500$1K$2Kfacility $468professional $468

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
$257.04
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$190.55
Median
$190.55
Typical High
$213.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$588.84
Avera
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$724.44
Typical High
$891.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$645.65
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$588.84
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$645.65
Midlands
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$549.54
Typical High
$616.60
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$478.63
Typical High
$758.58
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$851.14

Where South Dakota sits

The same service costs 2.7 times more in California than in Kentucky. 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.

South Dakota· 8th of 51

$468

CA $741KY $275

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.