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Surgery for a Broken Toe Bone

Vermont 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 October 2026.

How much does Surgery for a Broken Toe Bone cost?

$741

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $741 for this service. Most negotiated rates run $575 to $955.

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 $1,698 · 10th to 90th $468 to $3,631Professionalmedian $741 · 10th to 90th $479 to $1,000
$200$500$1K$2Kfacility $1,698professional $741

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$588.84
Typical High
$691.83
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$691.83
Typical High
$794.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$741.31
Typical High
$1,000.00
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$812.83
Typical High
$954.99
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$724.44
Typical High
$1,202.26

Where Vermont sits

The same service costs 5.2 times more in Alaska than in Utah. 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.

Vermont· 14th of 51

$741

AK $1,995UT $380

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.