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Open Repair of Broken Forearm Bones

South Dakota rates for HCPCS 25575

Surgery to fix breaks in the shafts of the two long bones of the forearm, the radius and the ulna. The surgeon opens the skin, lines the broken ends back up under direct view, and holds them in place with hardware such as plates and screws. It is used when the bones will not stay in a good position in a cast alone.

Rates data updated July 2026.

How much does Open Repair of Broken Forearm Bones cost?

$1,514

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,514 for this service. Most negotiated rates run $1,259 to $1,778.

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 $3,548 · 10th to 90th $1,175 to $21,878Professionalmedian $1,514 · 10th to 90th $1,023 to $1,950
$1K$2K$5K$10K$20Kfacility $3,548professional $1,514

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
$3,548.13
Median
$16,595.87
Typical High
$21,877.62
Avera
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,513.56
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,041.74
Typical High
$2,041.74
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,513.56
Typical High
$1,778.28
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$14,791.08

Where South Dakota sits

The same service costs 24.0 times more in West Virginia than in North Dakota. 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· 48th of 50

$1,514

WV $21,878ND $912

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.