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Surgery For A Stiff, Arthritic Big-Toe Joint

Montana rates for HCPCS 28291

Treats a big-toe joint that has become stiff and painful from arthritis. The surgeon trims away the bone spurs that block the joint, clears out the worn and damaged tissue inside it, and releases the tightened joint lining so the toe can bend again when walking. It is done when stiffness and pain persist despite stiff-soled shoes, inserts and injections.

Rates data updated October 2026.

How much does Surgery For A Stiff, Arthritic Big-Toe Joint cost?

$1,924

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

Insurers have agreed to pay about $1,924 for this procedure. That total is two separate charges: $776 to the doctor who performs it, and $1,148 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$776$692 to $1,096
Facility feeThe hospital or surgery center$1,148$759 to $1,175

How much rates vary

Facilitymedian $1,148 · 10th to 90th $759 to $5,754Professionalmedian $776 · 10th to 90th $490 to $1,175
$100$200$500$1K$2K$5K$10Kfacility $1,148professional $776

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$707.95
Typical High
$1,148.15
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$7,943.28
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$794.33
Typical High
$1,096.48
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$891.25
Typical High
$1,230.27
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$758.58
Typical High
$1,230.27
Providence
Setting
Facility
Modifier
None
Typical Low
$758.58
Median
$7,943.28
Typical High
$16,982.44
Providence
Setting
Professional
Modifier
None
Typical Low
$354.81
Median
$758.58
Typical High
$1,122.02
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,348.96

Where Montana sits

The same service costs 9.3 times more in Colorado 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

Montana· 49th of 51

$1,924

$776 physician + $1,148 facility

CO $13,624WV $1,466

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.