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Surgery for a Broken Toe Bone

South Dakota 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?

$891

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $891 for this service. Most negotiated rates run $676 to $1,023.

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 $891 · 10th to 90th $501 to $3,548Professionalmedian $832 · 10th to 90th $589 to $1,096
$500$1K$2K$5Kfacility $891professional $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
$407.38
Median
$3,548.13
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$831.76
Typical High
$1,318.26
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$1,318.26
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,760.83

Where South Dakota 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.

South Dakota· 43rd of 50

$891

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.