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Toe Joint Capsule Release

North Carolina rates for HCPCS 28272

This is a surgical procedure that releases the tight capsule surrounding a joint in the middle or end of a toe, done to loosen a stiff or contracted joint and improve its range of motion. It's often performed as part of correcting a bent or curled toe deformity. Each affected joint is treated separately.

Rates data updated July 2026.

How much does Toe Joint Capsule Release cost?

$407

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $407 from a physician practice, and about $525 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$407$288 to $603
FacilityA hospital or hospital-owned outpatient department$525$372 to $1,380

How much rates vary

Facilitymedian $525 · 10th to 90th $245 to $7,079Professionalmedian $407 · 10th to 90th $245 to $891
$200$500$1K$2K$5K$10Kfacility $525professional $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
$245.47
Median
$616.60
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$489.78
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$776.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
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
$1,778.28
Median
$6,309.57
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$676.08
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$13,489.63
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$3,162.28

Where North Carolina sits

The same service costs 2.3 times more in California than in Kentucky. 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.

North Carolina· 26th of 51

$407

CA $759KY $324

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.