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Setting a Broken Scaphoid Wrist Bone

Washington, DC rates for HCPCS 25624

Treatment of a break in the scaphoid, a small boat-shaped bone on the thumb side of the wrist, without opening the skin. The doctor moves the fragments back into a better position by hand and then holds the wrist in a cast or splint while it heals. Follow-up x-rays check that the alignment is maintained.

Rates data updated July 2026.

How much does Setting a Broken Scaphoid Wrist Bone cost?

$537

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $537 for this service. Most negotiated rates run $479 to $1,000.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $479 to $7,762Professionalmedian $537 · 10th to 90th $457 to $794
$500$1K$2K$5Kfacility $4,074professional $537

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
$478.63
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$501.19
Typical High
$707.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,230.27
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,000.00
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$3,311.31
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$660.69
Typical High
$1,288.25

Where Washington, DC sits

The same service costs 3.2 times more in California 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.

Washington, DC· 36th of 51

$537

CA $1,549WV $479

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.