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Setting a Broken Scaphoid Wrist Bone

North Carolina 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?

$1,327

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,327 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $724 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$603$468 to $933
Facility feeThe hospital or surgery center$724$525 to $1,660

How much rates vary

Facilitymedian $724 · 10th to 90th $447 to $6,457Professionalmedian $603 · 10th to 90th $427 to $1,288
$500$1K$2K$5Kfacility $724professional $603

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
$1,584.89
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$512.86
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$812.83
Typical High
$1,412.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$1,071.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$1,148.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$2,238.72
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$478.63
Typical High
$933.25
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$4,365.16

Where North Carolina 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

North Carolina· 48th of 50

$1,327

$603 physician + $724 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.