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Surgery for a Broken Toe Bone

New Mexico 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 $1,549 · 10th–90th $437$12,5890%5%10th90th$1,549$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$912.01
Typical High
$7,762.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$9,332.54
Typical High
$14,791.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,918.31
Typical High
$14,125.38