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Application Of A Shoulder Spica Cast

Virginia rates for HCPCS 29055

A large cast is applied that wraps around the chest and continues down the arm, holding the shoulder in a set position. Keeping the shoulder and upper arm completely still lets a fracture or a repair heal in the right alignment. Padding is put on first and the cast is then moulded to the body.

Rates data updated July 2026.

How much does Application Of A Shoulder Spica Cast cost?

$433

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

Insurers have agreed to pay about $433 for this procedure. That total is two separate charges: $204 to the doctor who performs it, and $229 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$204$155 to $245
Facility feeThe hospital or surgery center$229$158 to $372

How much rates vary

Facilitymedian $229 · 10th to 90th $138 to $1,820Professionalmedian $204 · 10th to 90th $132 to $339
$100$200$500$1K$2K$5K$10Kfacility $229professional $204

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
$144.54
Median
$239.88
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$245.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$338.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$407.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$389.05
Medcost
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$489.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$380.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$177.83
Sentara
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$1,288.25
Sentara
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$275.42
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$199.53
Typical High
$380.19

Where Virginia sits

The same service costs 16.6 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· 40th of 49

$433

$204 physician + $229 facility

IN $4,072MD $245

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.