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Surgery for a Broken Toe Bone

Virginia 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?

$1,000

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $525 to $5,248.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,000 · 10th to 90th $407 to $7,943Professionalmedian $676 · 10th to 90th $537 to $1,122
$500$1K$2K$5K$10Kfacility $1,000professional $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
$457.09
Median
$4,168.69
Typical High
$8,317.64
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$851.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$676.08
Typical High
$1,348.96
Medcost
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$954.99
Sentara
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$501.19
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,309.57
Typical High
$13,489.63

Where Virginia 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.

Virginia· 42nd of 50

$1,000

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.