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Setting a Broken Midfoot Bone by Hand

Pennsylvania 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?

$2,980

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

Insurers have agreed to pay about $2,980 for this procedure. That total is two separate charges: $288 to the doctor who performs it, and $2,692 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$288$263 to $331
Facility feeThe hospital or surgery center$2,692$1,349 to $5,370

How much rates vary

Facilitymedian $2,692 · 10th to 90th $479 to $8,318Professionalmedian $288 · 10th to 90th $234 to $427
$200$500$1K$2K$5K$10Kfacility $2,692professional $288

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
$537.03
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$389.05
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$537.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$537.03
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$323.59
Typical High
$549.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$2,570.40
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$295.12
Typical High
$1,230.27
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$371.54
Typical High
$398.11
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$1,412.54
Typical High
$2,884.03
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$281.84
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,949.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$316.23
Typical High
$537.03

Where Pennsylvania 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

Pennsylvania· 15th of 50

$2,980

$288 physician + $2,692 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.