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Opening a Toe Joint to Drain or Explore

West 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?

$834

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

Insurers have agreed to pay about $834 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $427 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$407$316 to $490
Facility feeThe hospital or surgery center$427$295 to $513

How much rates vary

Facilitymedian $427 · 10th to 90th $295 to $1,622Professionalmedian $407 · 10th to 90th $269 to $513
$500$1K$2K$5Kfacility $427professional $407

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
$295.12
Median
$426.58
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$407.38
Typical High
$512.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$398.11
CareSource
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$3,019.95
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,454.71
Typical High
$4,466.84
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$645.65

Where West 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

West Virginia· 50th of 50

$834

$407 physician + $427 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.