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Big Toe Joint Cleanup For Stiffness (Cheilectomy)

Washington 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?

$2,447

Typical total for the visit. In Washington, July 2026.

Insurers have agreed to pay about $2,447 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $1,514 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$933$646 to $1,318
Facility feeThe hospital or surgery center$1,514$933 to $8,710

How much rates vary

Facilitymedian $1,514 · 10th to 90th $661 to $13,804Professionalmedian $933 · 10th to 90th $501 to $2,399
$50$200$1K$5K$20Kfacility $1,514professional $933

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
$794.33
Median
$6,456.54
Typical High
$17,378.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$870.96
Typical High
$2,691.53
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$812.83
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,000.00
Typical High
$17,782.79
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,071.52
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,000.00
Typical High
$1,819.70
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,023.29
Typical High
$2,884.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,023.29
Typical High
$1,905.46
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,348.96
Typical High
$1,445.44
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$954.99
Typical High
$977.24
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$977.24
Typical High
$1,698.24
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$9,772.37
Typical High
$17,378.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,071.52
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$10,232.93
Typical High
$18,620.87
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$933.25
Typical High
$1,778.28
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$812.83
Typical High
$1,023.29

Where Washington sits

The same service costs 6.7 times more in Indiana than in Maryland. 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

Washington· 42nd of 51

$2,447

$933 physician + $1,514 facility

IN $9,142MD $1,368

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.