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Setting a Broken Forearm Without Surgery

South Dakota rates for HCPCS 25565

Treats a break of both bones of the forearm — the radius and the ulna — without opening the skin. The arm is held in a cast or splint that keeps the bones in position while they knit, and the alignment is rechecked on X-ray as healing goes on. Whether the bones first have to be pushed and moulded back into position from the outside determines which version of this treatment applies.

Rates data updated July 2026.

How much does Setting a Broken Forearm Without Surgery cost?

$955

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $955 for this service. Most negotiated rates run $776 to $1,585.

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.

How much rates vary

Facilitymedian $1,585 · 10th to 90th $550 to $1,950Professionalmedian $891 · 10th to 90th $575 to $1,072
$500$1K$2Kfacility $1,585professional $891

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
$457.09
Median
$1,584.89
Typical High
$1,949.84
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$346.74
Median
$346.74
Typical High
$389.05
Avera
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$954.99
Typical High
$1,862.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$1,230.27
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,174.90
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$3,311.31

Where South Dakota sits

The same service costs 9.8 times more in California than in Delaware. 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· 38th of 51

$955

CA $5,129DE $525

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.