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Open Repair of a Broken Metatarsal

Illinois rates for HCPCS 28485

Repairs a broken metatarsal — one of the long bones running through the middle of the foot — through an incision that lets the surgeon see the fragments and set them precisely, usually holding them with a plate, screws or a pin. It is chosen when the break is badly displaced, angled or unstable, or sits in a spot that heals poorly on its own. Each broken bone treated this way is counted separately.

Rates data updated July 2026.

How much does Open Repair of a Broken Metatarsal cost?

$2,754

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $2,754 for this service. Most negotiated rates run $1,047 to $6,457.

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 $4,266 · 10th to 90th $955 to $11,482Professionalmedian $955 · 10th to 90th $603 to $2,239
$200$500$1K$2K$5K$10K$20Kfacility $4,266professional $955

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
$3,715.35
Typical High
$11,220.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,471.29
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$954.99
Typical High
$2,238.72
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$6,309.57
Typical High
$16,982.44

Where Illinois sits

The same service costs 14.5 times more in Indiana than in South Dakota. 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.

Illinois· 42nd of 50

$2,754

IN $14,125SD $977

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.