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Open Repair of a Broken Metatarsal

North Carolina 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?

$5,012

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $5,012 for this service. Most negotiated rates run $832 to $8,710.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,012 · 10th to 90th $550 to $13,183Professionalmedian $759 · 10th to 90th $759 to $1,288
$1$10$100$1K$10Kfacility $5,012professional $759

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$6,025.60
Typical High
$12,022.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$4,570.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$8,128.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,288.25
Medcost
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$13,803.84
Typical High
$23,442.29
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$33,884.42

Where North Carolina 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.

North Carolina· 24th of 50

$5,012

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.