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Surgery for a Broken Wrist Bone

Virginia rates for HCPCS 25628

Repairs a broken scaphoid, one of the small bones on the thumb side of the wrist, through an incision. The pieces are lined up under direct view and usually held together with a screw passed across the break. It is chosen because this bone has a fragile blood supply and can fail to knit if the fragments are not held firmly, which would leave a painful, arthritic wrist.

Facilitymedian $3,236 · 10th–90th $759$13,1830%5%10th90th$3,236Professionalmedian $891 · 10th–90th $646$1,2880%20%10th90th$891$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$3,981.07
Typical High
$8,912.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$977.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,659.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$912.01
Typical High
$1,412.54
Sentara
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,748.98
Typical High
$26,302.68