go back

Big Toe Joint Cleanup For Stiffness (Cheilectomy)

Hawaii rates for HCPCS 28289

This surgery treats a stiff, arthritic big toe joint, a condition called hallux rigidus, by shaving away bone spurs and reshaping the joint surface to restore motion and relieve pain. It preserves the joint itself rather than replacing or fusing it, and does not involve placement of any implant or fixation hardware. It's typically considered for earlier-stage joint stiffness before more extensive joint surgery becomes necessary.

Rates data updated July 2026.

How much does Big Toe Joint Cleanup For Stiffness (Cheilectomy) cost?

$1,514

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $1,514 for this service. Most negotiated rates run $646 to $4,467.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,318 to $4,467Professionalmedian $1,288 · 10th to 90th $490 to $6,026
$200$500$1K$2K$5Kfacility $4,467professional $1,288

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
$1,318.26
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$891.25
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$741.31
Typical High
$1,047.13
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$2,630.27
Typical High
$6,165.95

Where Hawaii sits

The same service costs 2.3 times more in Hawaii than in Delaware. 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.

Hawaii· 1st of 51

$1,514

HI $1,514DE $646

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.