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Opening A Forefoot Joint To Drain Or Explore

Maine rates for HCPCS 28022

Opens a joint in the forefoot surgically to look inside, wash out infection, or take out a loose fragment of bone or cartilage or a foreign object. It is used when imaging or a needle drainage is not enough to clear or identify the problem. The joint is closed afterwards and usually protected in a stiff-soled shoe or boot.

Rates data updated July 2026.

How much does Opening A Forefoot Joint To Drain Or Explore cost?

$13,672

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

Insurers have agreed to pay about $13,672 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $13,183 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$490$389 to $631
Facility feeThe hospital or surgery center$13,183$13,183 to $13,183

How much rates vary

Facilitymedian $13,183 · 10th to 90th $631 to $13,183Professionalmedian $490 · 10th to 90th $324 to $851
$500$1K$2K$5K$10Kfacility $13,183professional $490

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$13,182.57
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$575.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$478.63
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$1,047.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$1,122.02
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$630.96
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$977.24

Where Maine sits

The same service costs 15.6 times more in Maine than in West Virginia. 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

Maine· 1st of 50

$13,672

$490 physician + $13,183 facility

ME $13,672WV $874

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.