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Opening a Toe Joint to Drain or Explore

Virginia 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?

$1,289

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

Insurers have agreed to pay about $1,289 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $832 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$457$339 to $562
Facility feeThe hospital or surgery center$832$417 to $4,365

How much rates vary

Facilitymedian $832 · 10th to 90th $324 to $7,244Professionalmedian $457 · 10th to 90th $302 to $871
$500$1K$2K$5K$10Kfacility $832professional $457

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
$489.78
Median
$3,467.37
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,981.07
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$446.68
Typical High
$758.58
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$407.38
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$478.63
Typical High
$870.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$588.84
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$630.96
Typical High
$1,071.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$489.78
Typical High
$776.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Sentara
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$407.38
Typical High
$7,413.10
Sentara
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$6,165.95
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$446.68
Typical High
$794.33

Where Virginia 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

Virginia· 45th of 50

$1,289

$457 physician + $832 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.