go back

Setting a Broken Scaphoid Wrist Bone

Virginia 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?

$1,514

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

Insurers have agreed to pay about $1,514 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $977 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$479 to $708
Facility feeThe hospital or surgery center$977$537 to $3,631

How much rates vary

Facilitymedian $977 · 10th to 90th $457 to $6,918Professionalmedian $537 · 10th to 90th $417 to $1,148
$500$1K$2K$5K$10Kfacility $977professional $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
$537.03
Median
$3,467.37
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$1,148.15
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$812.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$1,148.15
Medcost
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$575.44
Typical High
$891.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Sentara
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$2,630.27
Sentara
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,089.30
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$912.01

Where Virginia 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

Virginia· 42nd of 50

$1,514

$537 physician + $977 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.