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Open Repair of a Broken Metatarsal

North Dakota 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 October 2026.

How much does Open Repair of a Broken Metatarsal cost?

$4,332

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $4,332 for this procedure. That total is two separate charges: $1,096 to the doctor who performs it, and $3,236 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,096$851 to $1,259
Facility feeThe hospital or surgery center$3,236$562 to $5,248

How much rates vary

Facilitymedian $3,236 · 10th to 90th $562 to $6,457Professionalmedian $1,096 · 10th to 90th $562 to $1,445
$500$1K$2K$5K$10K$20Kfacility $3,236professional $1,096

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$562.34
Typical High
$707.95
BCBS North Dakota
Setting
Facility
Modifier
None
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,772.37
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,230.27
Typical High
$1,445.44
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,148.15
Median
$1,479.11
Typical High
$1,737.80
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$660.69
Median
$870.96
Typical High
$1,023.29
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$95.50
Median
$123.03
Typical High
$144.54
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$707.95
Median
$933.25
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$1,174.90
Typical High
$1,778.28
Medica
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$3,467.37
Typical High
$6,165.95
Medica
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$1,023.29
Typical High
$1,445.44
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$4,897.79
Typical High
$5,495.41
United
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$1,023.29
Typical High
$1,096.48

Where North Dakota sits

The same service costs 7.5 times more in Colorado than in Montana. 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 Dakota· 39th of 51

$4,332

$1,096 physician + $3,236 facility

CO $13,659MT $1,825

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.