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Open Repair of a Broken Metatarsal

Vermont 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?

$776

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $776 for this service. Most negotiated rates run $661 to $1,023.

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 $2,692 · 10th to 90th $575 to $10,715Professionalmedian $776 · 10th to 90th $646 to $1,175
$200$500$1K$2K$5K$10Kfacility $2,692professional $776

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
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$741.31
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$676.08
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$10,715.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$1,023.29
Typical High
$1,023.29
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$575.44
Median
$741.31
Typical High
$954.99
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
United
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$794.33
Typical High
$1,288.25

Where Vermont sits

The same service costs 6.9 times more in Alaska than in Utah. 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.

Vermont· 24th of 51

$776

AK $2,291UT $331

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.