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Removal Of Part Or All Of A Toe Bone Base

South Dakota 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?

$1,102

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

Insurers have agreed to pay about $1,102 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $589 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$513$389 to $794
Facility feeThe hospital or surgery center$589$417 to $933

How much rates vary

Facilitymedian $589 · 10th to 90th $363 to $3,548Professionalmedian $513 · 10th to 90th $251 to $1,072
$200$500$1K$2K$5Kfacility $589professional $513

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
$251.19
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$398.11
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$741.31
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$870.96
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$575.44
Typical High
$933.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$562.34
Typical High
$912.01
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$1,071.52
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$977.24

Where South Dakota 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

South Dakota· 45th of 50

$1,102

$513 physician + $589 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.