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Opening a Toe Joint to Drain or Explore

South Dakota 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?

$1,325

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

Insurers have agreed to pay about $1,325 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $708 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$398 to $891
Facility feeThe hospital or surgery center$708$513 to $1,072

How much rates vary

Facilitymedian $708 · 10th to 90th $437 to $3,090Professionalmedian $617 · 10th to 90th $309 to $1,096
$500$1K$2Kfacility $708professional $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
$309.03
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$933.25
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$676.08
Typical High
$1,071.52
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,000.00
Typical High
$3,467.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$707.95
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$1,047.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$616.60
Typical High
$1,258.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$758.58
Typical High
$1,202.26

Where South Dakota 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 Dakota· 44th of 50

$1,325

$617 physician + $708 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.