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Surgery for a Broken Toe Bone

Wisconsin 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 $6,761 · 10th–90th $562$11,4820%10%10th90th$6,761Professionalmedian $1,259 · 10th–90th $759$1,9050%10%20%10th90th$1,259$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
$398.11
Median
$851.14
Typical High
$6,456.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$7,943.28
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,737.80
Typical High
$3,090.30
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$776.25
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$812.83
Typical High
$7,943.28
Network Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$5,754.40
Typical High
$7,762.47
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$562.34
Typical High
$1,148.15
Quartz
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,258.93
Typical High
$1,905.46
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,456.54
Typical High
$9,332.54
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,413.10
Typical High
$8,709.64