go back

Setting a Broken Scaphoid Wrist Bone

Illinois 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?

$2,211

Typical total for the visit. In Illinois, July 2026.

Insurers have agreed to pay about $2,211 for this procedure. That total is two separate charges: $589 to the doctor who performs it, and $1,622 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$589$457 to $871
Facility feeThe hospital or surgery center$1,622$871 to $3,388

How much rates vary

Facilitymedian $1,622 · 10th to 90th $501 to $5,623Professionalmedian $589 · 10th to 90th $417 to $1,072
$500$1K$2K$5K$10Kfacility $1,622professional $589

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
$501.19
Median
$1,584.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,511.89
Typical High
$10,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$954.99
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$1,862.09
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$575.44
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$63.10
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,380.38
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$977.24

Where Illinois sits

The same service costs 7.7 times more in Indiana than in Maryland. 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

Illinois· 32nd of 50

$2,211

$589 physician + $1,622 facility

IN $7,075MD $916

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.