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Removal Of A Sesamoid Bone In The Foot

Washington, DC rates for HCPCS 28315

Surgical removal of a small, pea-shaped bone embedded in a tendon near the ball of the foot, most often beneath the big toe. It is performed when a sesamoid bone has become fractured, chronically inflamed, or otherwise damaged and has not improved with rest, padding, or other conservative care.

Rates data updated July 2026.

How much does Removal Of A Sesamoid Bone In The Foot cost?

$501

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $501 for this service. Most negotiated rates run $363 to $724.

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 $5,129 · 10th to 90th $339 to $7,762Professionalmedian $501 · 10th to 90th $331 to $724
$500$1K$2K$5K$10K$20Kfacility $5,129professional $501

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
$338.84
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$691.83
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$2,290.87
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$512.86
Typical High
$1,148.15
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$1,174.90

Where Washington, DC sits

The same service costs 6.3 times more in Hawaii 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.

Washington, DC· 29th of 51

$501

HI $2,692WV $427

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.