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Open Repair of Broken Big Toe

Virginia rates for HCPCS 28505

Sets a broken bone of the big toe through an incision, so the surgeon can line up the pieces under direct view. Pins, screws or a small plate may be used to hold the bone while it heals. This approach is chosen when the fracture cannot be held in good position by setting it from the outside.

Rates data updated July 2026.

How much does Open Repair of Broken Big Toe cost?

$1,175

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $1,175 for this service. Most negotiated rates run $676 to $5,370.

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.

How much rates vary

Facilitymedian $1,175 · 10th to 90th $513 to $8,128Professionalmedian $759 · 10th to 90th $589 to $1,288
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,175professional $759

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
$691.83
Median
$3,630.78
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$977.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$1,548.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$707.95
Typical High
$1,096.48
Sentara
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$616.60
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,309.57
Typical High
$13,489.63

Where Virginia sits

The same service costs 15.8 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $1,175 · 42nd of 50
IN $10,000WV $631

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.