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Big Toe Joint Cleanup For Stiffness (Cheilectomy)

Vermont 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 October 2026.

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

$6,494

Typical total for the visit. In Vermont, October 2026.

Insurers have agreed to pay about $6,494 for this procedure. That total is two separate charges: $871 to the doctor who performs it, and $5,623 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$871$759 to $1,148
Facility feeThe hospital or surgery center$5,623$5,623 to $6,607

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,698 to $6,607Professionalmedian $871 · 10th to 90th $661 to $1,230
$200$500$1K$2K$5Kfacility $5,623professional $871

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$741.31
Typical High
$891.25
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,801.89
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$870.96
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$870.96
Typical High
$1,230.27
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,047.13
Typical High
$1,148.15
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$912.01
Typical High
$1,445.44

Where Vermont sits

The same service costs 6.0 times more in Alabama than in West Virginia. 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.

Physician feeFacility fee

Vermont· 2nd of 51

$6,494

$871 physician + $5,623 facility

AL $8,344WV $1,400

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.