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Surgery for a Broken Toe Bone

Illinois 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?

$1,514

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $1,514 for this service. Most negotiated rates run $741 to $3,236.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,778 · 10th to 90th $550 to $6,166Professionalmedian $832 · 10th to 90th $468 to $1,698
$200$500$1K$2K$5K$10K$20Kfacility $1,778professional $832

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
$549.54
Median
$1,621.81
Typical High
$6,165.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,786.30
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$831.76
Typical High
$1,698.24
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$7,585.78

Where Illinois 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.

Illinois· 36th of 50

$1,514

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.