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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.

How much does Surgery for a Broken Toe Bone cost?

$759

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $759 for this service. Most negotiated rates run $550 to $1,660.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $759 · 10th to 90th $398 to $7,413Professionalmedian $676 · 10th to 90th $676 to $1,349
$500$1K$2K$5K$10Kfacility $759professional $676

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
$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

Where North Carolina 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.

North Carolina· 47th of 50

$759

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.