go back

Setting a Broken Scaphoid Wrist Bone

West 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?

$957

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

Insurers have agreed to pay about $957 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $479 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$479$437 to $537
Facility feeThe hospital or surgery center$479$437 to $759

How much rates vary

Facilitymedian $479 · 10th to 90th $437 to $1,622Professionalmedian $479 · 10th to 90th $407 to $603
$500$1K$2K$5Kfacility $479professional $479

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
$436.52
Median
$478.63
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$537.03
CareSource
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$575.44
CareSource
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$724.44

Where West 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

West Virginia· 49th of 50

$957

$479 physician + $479 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.