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Closed Treatment of Great Toe Fracture

Delaware rates for HCPCS 28490

This service treats a broken bone in the big toe without any incision or surgery. If the toe is already properly aligned, the doctor protects it with a splint, buddy taping, or a stiff-soled shoe instead of manually repositioning the bone. It's typically used for stable fractures that don't need to be reset.

Rates data updated July 2026.

How much does Closed Treatment of Great Toe Fracture cost?

$135

Typical negotiated rate. In Delaware, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $447 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$123 to $148
FacilityA hospital or hospital-owned outpatient department$447$447 to $3,236

How much rates vary

Facilitymedian $447 · 10th to 90th $129 to $7,244Professionalmedian $135 · 10th to 90th $115 to $288
$100$200$500$1K$2K$5Kfacility $447professional $135

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
$446.68
Median
$446.68
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$134.90
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$144.54
Typical High
$257.04
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$208.93
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$144.54
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$138.04
Typical High
$234.42

Where Delaware sits

The same service costs 2.7 times more in Alaska than in Delaware. 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.

Delaware· 51st of 51

$135

AK $363DE $135

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.