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Removal Of Part Or All Of A Toe Bone Base

North Carolina rates for HCPCS 28126

A surgical procedure that removes part or all of the base of a bone in a toe, most often to correct a toe that has become permanently bent or curled, such as a hammertoe. Taking out that segment of bone shortens the toe enough for it to be repositioned into better alignment. It is handled one toe at a time when more than one toe is involved.

Rates data updated July 2026.

How much does Removal Of Part Or All Of A Toe Bone Base cost?

$944

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

Insurers have agreed to pay about $944 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $537 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$407$288 to $617
Facility feeThe hospital or surgery center$537$380 to $1,380

How much rates vary

Facilitymedian $537 · 10th to 90th $263 to $7,586Professionalmedian $407 · 10th to 90th $245 to $891
$200$500$1K$2K$5K$10Kfacility $537professional $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
$354.81
Median
$1,047.13
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$776.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$478.63
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$602.56
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$446.68
Typical High
$794.33
Medcost
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$912.01
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,456.54
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$363.08
Typical High
$660.69
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$45,708.82
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,235.94

Where North Carolina sits

The same service costs 14.5 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

North Carolina· 48th of 50

$944

$407 physician + $537 facility

IN $10,324WV $710

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.