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Opening A Forefoot Joint To Drain Or Explore

Montana 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?

$1,170

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

Insurers have agreed to pay about $1,170 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $646 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$525$437 to $708
Facility feeThe hospital or surgery center$646$562 to $851

How much rates vary

Facilitymedian $646 · 10th to 90th $525 to $933Professionalmedian $525 · 10th to 90th $309 to $851
$500$1K$2K$5K$10K$20K$50Kfacility $646professional $525

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
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$812.83
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$870.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$870.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$851.14
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$537.03
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$616.60
Typical High
$891.25

Where Montana 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

Montana· 47th of 50

$1,170

$525 physician + $646 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.