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Open Repair of a Broken Metatarsal

South 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?

$4,358

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

Insurers have agreed to pay about $4,358 for this procedure. That total is two separate charges: $1,122 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,122$776 to $1,380
Facility feeThe hospital or surgery center$3,236$832 to $3,467

How much rates vary

Facilitymedian $3,236 · 10th to 90th $794 to $5,370Professionalmedian $1,122 · 10th to 90th $562 to $1,549
$500$1K$2K$5Kfacility $3,236professional $1,122

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$562.34
Median
$562.34
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$691.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$2,187.76
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,258.93
Typical High
$1,659.59
Medica
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$1,318.26
Typical High
$3,890.45
Medica
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$1,258.93
Typical High
$4,265.80
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$3,467.37
Typical High
$6,456.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,202.26
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$588.84
Median
$831.76
Typical High
$1,122.02
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$1,071.52
Typical High
$1,548.82
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,380.38

Where South 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

South Dakota· 38th of 51

$4,358

$1,122 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.