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Open Repair of Dislocated Wrist Bone

Utah rates for HCPCS 25695

This open surgery repairs a dislocated lunate, one of the small bones that make up the wrist. Through an incision, the surgeon repositions the bone back into its correct place among the other wrist bones and secures it so the joint can heal in proper alignment. This approach is used when the dislocation cannot be corrected without surgery.

Rates data updated July 2026.

How much does Open Repair of Dislocated Wrist Bone cost?

$4,607

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

Insurers have agreed to pay about $4,607 for this procedure. That total is two separate charges: $891 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$891$617 to $1,288
Facility feeThe hospital or surgery center$3,715$2,884 to $4,786

How much rates vary

Facilitymedian $3,715 · 10th to 90th $891 to $6,457Professionalmedian $891 · 10th to 90th $589 to $3,548
$50$200$1K$5K$20Kfacility $3,715professional $891

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
$891.25
Median
$3,388.44
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$1,348.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,479.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$14,125.38
Typical High
$21,379.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$977.24
Typical High
$1,548.82
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
Select Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,071.52
Typical High
$1,258.93
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$977.24
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$660.69
Typical High
$1,071.52

Where Utah sits

The same service costs 18.1 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

Utah· 23rd of 50

$4,607

$891 physician + $3,715 facility

IN $23,063MD $1,277

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.