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Surgery for a Broken Toe Bone

Washington, DC 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?

$3,981

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $3,981 for this service. Most negotiated rates run $1,698 to $6,457.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,981 · 10th to 90th $427 to $7,762Professionalmedian $955 · 10th to 90th $617 to $1,318
$500$1K$2K$5K$10K$20Kfacility $3,981professional $955

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
$426.58
Median
$3,981.07
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$26,302.68

Where Washington, DC 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.

Washington, DC· 17th of 50

$3,981

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.