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Toe Joint Capsule Release

New York 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?

$457

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $398 from a physician practice, and about $3,981 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 9 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$398$309 to $525
FacilityA hospital or hospital-owned outpatient department$3,981$1,905 to $6,026

How much rates vary

Facilitymedian $3,981 · 10th to 90th $398 to $8,511Professionalmedian $398 · 10th to 90th $245 to $933
$200$500$1K$2K$5K$10Kfacility $3,981professional $398

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
$338.84
Median
$2,951.21
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$707.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,120.11
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$389.05
Typical High
$954.99
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$489.78
Typical High
$1,318.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$912.01
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$851.14
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$812.83
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$457.09
Typical High
$1,348.96
Univera
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$309.03
Typical High
$1,230.27
Univera
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$478.63
Typical High
$851.14

Where New York 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.

New York· 15th of 51

$457

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.