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Setting a Broken Scaphoid Wrist Bone

New York 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?

$4,240

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $4,240 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $3,715 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$525$447 to $759
Facility feeThe hospital or surgery center$3,715$1,698 to $6,026

How much rates vary

Facilitymedian $3,715 · 10th to 90th $575 to $8,511Professionalmedian $525 · 10th to 90th $407 to $1,318
$500$1K$2K$5K$10Kfacility $3,715professional $525

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
$512.86
Median
$2,951.21
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$1,202.26
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,698.24
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$691.83
Typical High
$1,905.46
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$1,737.80
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$870.96
Typical High
$1,174.90
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$660.69
Typical High
$1,071.52
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,162.28
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$1,995.26
Univera
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$1,819.70
Univera
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$1,380.38

Where New York 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

New York· 12th of 50

$4,240

$525 physician + $3,715 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.