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Opening A Forefoot Joint To Drain Or Explore

New York 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?

$4,866

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $4,866 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $4,365 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$501$407 to $661
Facility feeThe hospital or surgery center$4,365$1,820 to $7,413

How much rates vary

Facilitymedian $4,365 · 10th to 90th $501 to $10,233Professionalmedian $501 · 10th to 90th $324 to $1,202
$500$1K$2K$5K$10Kfacility $4,365professional $501

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
$436.52
Median
$2,951.21
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$1,202.26
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$1,698.24
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$630.96
Typical High
$1,659.59
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$562.34
Typical High
$1,202.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$794.33
Typical High
$1,096.48
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$616.60
Typical High
$1,023.29
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$660.69
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$588.84
Typical High
$1,737.80
Univera
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$398.11
Typical High
$1,621.81
Univera
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$1,174.90

Where New York 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

New York· 11th of 50

$4,866

$501 physician + $4,365 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.