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Opening A Forefoot Joint To Drain Or Explore

South Dakota 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?

$1,375

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,375 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $759 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$617$417 to $891
Facility feeThe hospital or surgery center$759$550 to $1,122

How much rates vary

Facilitymedian $759 · 10th to 90th $479 to $3,090Professionalmedian $617 · 10th to 90th $316 to $1,122
$500$1K$2K$5Kfacility $759professional $617

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
$331.13
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$1,122.02
Medica
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$1,047.13
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$758.58
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$724.44
Typical High
$1,096.48
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$676.08
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$645.65
Typical High
$1,318.26
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$794.33
Typical High
$1,258.93

Where South Dakota 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

South Dakota· 45th of 50

$1,375

$617 physician + $759 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.