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Removal Of A Sesamoid Bone In The Foot

Idaho 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?

$1,791

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

Insurers have agreed to pay about $1,791 for this procedure. That total is two separate charges: $617 to the doctor who performs it, and $1,175 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$617$468 to $813
Facility feeThe hospital or surgery center$1,175$617 to $5,248

How much rates vary

Facilitymedian $1,175 · 10th to 90th $447 to $8,318Professionalmedian $617 · 10th to 90th $339 to $977
$500$1K$2K$5K$10Kfacility $1,175professional $617

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
$812.83
Median
$4,466.84
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,630.78
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$537.03
Typical High
$831.76
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$1,000.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$794.33
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,244.36
Typical High
$10,715.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$1,023.29
Select Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$2,884.03
Typical High
$5,128.61
Select Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$6,760.83
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$562.34
Typical High
$891.25

Where Idaho sits

The same service costs 19.9 times more in Indiana than in Maine. 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

Idaho· 39th of 51

$1,791

$617 physician + $1,175 facility

IN $9,749ME $490

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.