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Heel Bone Fracture Repair With Bone Graft

California rates for HCPCS 28420

This surgery repairs a broken heel bone through an open incision, using a piece of bone graft taken from the patient's own body to help fill gaps and support healing, along with hardware as needed to hold the bone in place. It's used for more complex heel fractures where the bone alone isn't enough to support proper healing.

Rates data updated July 2026.

How much does Heel Bone Fracture Repair With Bone Graft cost?

$5,248

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $5,248 for this service. The price depends on where it is billed: about $1,479 from a physician practice, and about $7,943 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 13 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,479$1,202 to $2,818
FacilityA hospital or hospital-owned outpatient department$7,943$5,012 to $11,220

How much rates vary

Facilitymedian $7,943 · 10th to 90th $2,818 to $16,982Professionalmedian $1,479 · 10th to 90th $1,000 to $7,079
$100.0$1.0K$10.0Kfacility $7,943professional $1,479

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
$3,311.31
Median
$7,943.28
Typical High
$22,387.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$8,128.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$8,128.31
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,819.70
Typical High
$3,548.13
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$6,456.54
Typical High
$14,125.38
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$3,311.31
Typical High
$18,197.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$3,311.31
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,412.54
Typical High
$1,905.46
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,513.56
Typical High
$2,884.03
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$33,884.42
Typical High
$50,118.72
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$9,332.54
Median
$11,220.18
Typical High
$11,220.18
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,584.89
Typical High
$2,511.89
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$3,388.44
Sutter Health Plus
Setting
Professional
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
The Alliance
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,412.54
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$14,125.38
Typical High
$28,840.32
United
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$2,884.03

Where California sits

The same service costs 4.0 times more in California than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $5,248 · 1st of 51
CA $5,248NM $1,318

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.