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Opening a Toe Joint to Drain or Explore

Illinois rates for HCPCS 28024

A toe joint is opened surgically so the surgeon can look inside it, wash out and drain infection, or take out a loose fragment of bone or cartilage or a foreign object. It is most often done for a joint infection that will not settle with antibiotics alone.

Rates data updated July 2026.

How much does Opening a Toe Joint to Drain or Explore cost?

$2,188

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

Insurers have agreed to pay about $2,188 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $1,698 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$380 to $724
Facility feeThe hospital or surgery center$1,698$832 to $3,890

How much rates vary

Facilitymedian $1,698 · 10th to 90th $447 to $5,623Professionalmedian $490 · 10th to 90th $302 to $912
$500$1K$2K$5K$10Kfacility $1,698professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,584.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$2,398.83
Typical High
$6,606.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$512.86
Typical High
$851.14
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$676.08
Typical High
$1,174.90
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$389.05
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$52.48
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$3,388.44
Typical High
$6,025.60
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$478.63
Typical High
$812.83

Where Illinois sits

The same service costs 8.6 times more in Indiana 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

Illinois· 36th of 50

$2,188

$490 physician + $1,698 facility

IN $7,168WV $834

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.