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Wrist Bone Fracture Treatment, Closed

Utah rates for HCPCS 25630

Treats a broken small bone in the wrist (other than the scaphoid, the wrist bone most commonly fractured) without surgery, allowing it to heal in its current position while supported by a splint or cast. This closed approach does not involve repositioning the bone or using hardware such as pins, screws, or wires. It applies to a single wrist bone.

Rates data updated July 2026.

Facilitymedian $2,951 · 10th–90th $309$4,5710%10%10th90th$2,951Professionalmedian $372 · 10th–90th $251$1,0470%10%10th90th$372$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$281.84
Median
$281.84
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$380.19
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$575.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$724.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$467.74
Typical High
$676.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Select Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$676.08
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$478.63
Typical High
$645.65
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$489.78