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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.

Rates data updated July 2026.

How much does Surgery for a Broken Toe Bone cost?

$6,761

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $6,761 for this service. Most negotiated rates run $4,571 to $10,233.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,244 · 10th to 90th $1,445 to $15,849Professionalmedian $631 · 10th to 90th $398 to $1,122
$100$500$2K$10Kfacility $7,244professional $631

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
$2,691.53
Median
$6,760.83
Typical High
$19,054.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,943.28
Typical High
$15,848.93
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$5,128.61
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
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
$7,413.10
Typical High
$15,135.61

Where California sits

The same service costs 17.0 times more in Indiana than in West Virginia. 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.

California· 3rd of 50

$6,761

IN $9,120WV $537

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.