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Open Repair of a Broken Metatarsal

Pennsylvania 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?

$5,623

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $3,548 to $10,000.

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.

How much rates vary

Facilitymedian $5,623 · 10th to 90th $955 to $16,218
$100.0$1.0K$10.0K$100.0Kfacility $5,623

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
$954.99
Median
$5,623.41
Typical High
$16,218.10
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,570.88
Typical High
$37,153.52
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$17,782.79
Typical High
$31,622.78
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,677.35
Typical High
$38,018.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$5,623.41
Typical High
$15,848.93
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,398.83
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,165.95
Typical High
$21,379.62

Where Pennsylvania sits

The same service costs 14.5 times more in Indiana than in South Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $5,623 · 21st of 50
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.