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Manual Realignment Of A Broken Toe Bone

North Carolina rates for HCPCS 28515

This procedure treats a fracture in one of the smaller toe bones by manually manipulating the bone fragments back into proper alignment, without inserting a pin or wire. It applies to toes other than the big toe.

Rates data updated July 2026.

How much does Manual Realignment Of A Broken Toe Bone cost?

$214

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $214 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $282 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 6 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$209$155 to $295
FacilityA hospital or hospital-owned outpatient department$282$182 to $617

How much rates vary

Facilitymedian $282 · 10th to 90th $141 to $3,090Professionalmedian $209 · 10th to 90th $138 to $447
$200$500$1K$2K$5Kfacility $282professional $209

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
$158.49
Median
$363.08
Typical High
$5,248.07
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$104.71
Median
$186.21
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$426.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$218.78
Typical High
$467.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$245.47
Typical High
$602.56
Cigna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$208.93
Typical High
$354.81
Medcost
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$380.19
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$190.55
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$891.25
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$316.23
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$1,819.70
Typical High
$1,819.70
Wellcare
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,445.44

Where North Carolina sits

The same service costs 2.6 times more in Alaska than in Kentucky. 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.

North Carolina· 21st of 51

$214

AK $389KY $151

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.