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Toe Joint Capsule Release

South Dakota 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?

$525

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $603 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 8 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$513$331 to $741
FacilityA hospital or hospital-owned outpatient department$603$407 to $912

How much rates vary

Facilitymedian $603 · 10th to 90th $339 to $3,090Professionalmedian $513 · 10th to 90th $257 to $912
$200$500$1K$2Kfacility $603professional $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
$257.04
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$389.05
Typical High
$794.33
Avera
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$1,122.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$562.34
Typical High
$912.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$870.96
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$602.56
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$575.44
Typical High
$912.01
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$524.81
Typical High
$1,047.13
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$954.99

Where South Dakota 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.

South Dakota· 7th of 51

$525

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.