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Surgery for a Broken Toe Bone

California rates for HCPCS 28525

Repairs a broken bone in a toe through an incision, lining the fragments up under direct view and holding them in place with a pin, screw or wire when needed. It is used when the pieces are badly out of position, involve a joint, or cannot be held straight in a splint or buddy strapping. The foot is protected in a stiff-soled shoe or boot while the bone knits.

Facilitymedian $7,413 · 10th–90th $1,622$15,8490%5%10%10th90th$7,413Professionalmedian $631 · 10th–90th $398$1,1220%10%10th90th$631$50.0$200.0$1.0K$5.0K$20.0K

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
$2,691.53
Median
$7,079.46
Typical High
$18,197.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$8,128.31
Typical High
$15,848.93
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$5,888.44
Typical High
$10,471.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$562.34
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$1,122.02
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$45,708.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$7,244.36
Typical High
$15,135.61