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Setting a Broken Midfoot Bone by Hand

North Carolina rates for HCPCS 28455

Treatment without surgery of a break in one of the bones in the middle of the foot. The bone is pushed back into position by hand and the foot is held in a cast, splint or boot while it heals, and it is charged for each bone treated this way.

Rates data updated July 2026.

How much does Setting a Broken Midfoot Bone by Hand cost?

$775

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $775 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $437 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$339$282 to $525
Facility feeThe hospital or surgery center$437$302 to $1,000

How much rates vary

Facilitymedian $437 · 10th to 90th $257 to $5,248Professionalmedian $339 · 10th to 90th $257 to $741
$200$500$1K$2K$5Kfacility $437professional $339

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
$281.84
Median
$977.24
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$302.00
Typical High
$630.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$398.11
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$380.19
Typical High
$645.65
Medcost
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$676.08
Medcost
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$338.84
Typical High
$549.54
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$891.25
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$562.34
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,659.59
Typical High
$1,659.59
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,187.76

Where North Carolina sits

The same service costs 21.7 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

North Carolina· 45th of 50

$775

$339 physician + $437 facility

IN $7,043ME $324

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.