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Removal of the Bone End Behind the Big Toe

Maryland rates for HCPCS 28111

Removes the whole rounded head of the first metatarsal — the end of the long foot bone that forms the joint at the base of the big toe. It is done when that bone end has been destroyed by severe arthritis, infection, or deformity and cannot be saved or simply trimmed. Taking it out relieves pain and pressure under the ball of the foot.

Rates data updated July 2026.

How much does Removal of the Bone End Behind the Big Toe cost?

$708

Typical facility fee. In Maryland, July 2026.

Insurers have agreed to pay about $708 for this service. Most negotiated rates run $525 to $1,259.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,259 · 10th to 90th $513 to $1,820Professionalmedian $575 · 10th to 90th $501 to $891
$500$1K$2K$5Kfacility $1,259professional $575

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$5,011.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$575.44
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$524.81
Typical High
$1,819.70

Where Maryland sits

The same service costs 22.4 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.

Maryland· 44th of 50

$708

IN $10,233WV $457

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.