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Hammertoe Correction Surgery

North Carolina rates for HCPCS 28285

This surgery straightens a toe that has become bent or curled at one of its joints, a condition known as a hammertoe, by removing a small piece of bone or fusing the joint to hold the toe in a straighter position. Correcting the deformity can relieve pain, pressure, and rubbing against footwear that a bent toe often causes. Small pins or other fixation may be used temporarily to hold the toe in its corrected alignment while it heals.

Rates data updated July 2026.

Facilitymedian $955 · 10th–90th $372$7,7620%10%10th90th$955Professionalmedian $562 · 10th–90th $347$1,3180%10%20%10th90th$562$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$1,288.25
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$549.54
Typical High
$1,288.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,071.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$616.60
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$645.65
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$1,096.48
Medcost
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,258.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$891.25
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
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
$331.13
Median
$489.78
Typical High
$954.99
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
$3,890.45
Median
$3,890.45
Typical High
$4,570.88