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Opening a Toe Joint to Drain or Explore

South Carolina 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?

$4,510

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

Insurers have agreed to pay about $4,510 for this procedure. That total is two separate charges: $437 to the doctor who performs it, and $4,074 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$437$347 to $537
Facility feeThe hospital or surgery center$4,074$525 to $8,511

How much rates vary

Facilitymedian $4,074 · 10th to 90th $363 to $12,303Professionalmedian $437 · 10th to 90th $295 to $724
$200$500$1K$2K$5K$10K$20Kfacility $4,074professional $437

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
$354.81
Median
$7,244.36
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$446.68
Typical High
$724.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,495.41
Typical High
$9,332.54
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$489.78
Typical High
$831.76
Medcost
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$512.86
Typical High
$891.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$10,232.93
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$707.95

Where South Carolina 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

South Carolina· 11th of 50

$4,510

$437 physician + $4,074 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.