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Manual Realignment Of A Broken Toe Bone

Utah 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.

Facilitymedian $589 · 10th–90th $162$4,4670%5%10%10th90th$589Professionalmedian $204 · 10th–90th $132$8130%5%10%10th90th$204$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$3,019.95
Typical High
$4,570.88
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$144.54
Median
$144.54
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$269.15
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$302.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$724.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$354.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Select Health
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$245.47
Typical High
$316.23
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$251.19