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Surgery for a Broken Toe Bone

North Carolina 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.

Facilitymedian $759 · 10th–90th $398$7,4130%10%10th90th$759Professionalmedian $676 · 10th–90th $676$1,3490%20%40%90th$676$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,380.38
Typical High
$8,317.64
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,398.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$676.08
Typical High
$2,818.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$1,348.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,456.54
Typical High
$10,715.19
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$45,708.82