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Opening a Toe Joint to Drain or Explore

New York 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?

$4,449

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

Insurers have agreed to pay about $4,449 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $3,981 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$468$380 to $631
Facility feeThe hospital or surgery center$3,981$1,905 to $6,166

How much rates vary

Facilitymedian $3,981 · 10th to 90th $468 to $9,120Professionalmedian $468 · 10th to 90th $309 to $1,148
$500$1K$2K$5K$10Kfacility $3,981professional $468

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
$407.38
Median
$3,019.95
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$851.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$1,122.02
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,698.24
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$660.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$588.84
Typical High
$1,548.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$1,148.15
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$1,047.13
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$575.44
Typical High
$977.24
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$616.60
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$562.34
Typical High
$1,621.81
Univera
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$371.54
Typical High
$1,548.82
Univera
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$1,122.02

Where New York 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

New York· 13th of 50

$4,449

$468 physician + $3,981 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.