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Non-Surgical Treatment of a Broken Sesamoid Bone

Washington, DC rates for HCPCS 28530

This treats a fracture of a sesamoid bone, a small bone embedded in a tendon underneath the big toe joint, without surgery. Care typically involves immobilizing the foot, such as with a stiff-soled shoe, boot, or cast, to let the bone heal.

Rates data updated July 2026.

How much does Non-Surgical Treatment of a Broken Sesamoid Bone cost?

$123

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $107 to $155.

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

Professionalmedian $123 · 10th to 90th $100 to $186
$100$200$500professional $123

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
Professional
Modifier
Global
Typical Low
$100.00
Median
$114.82
Typical High
$173.78
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$295.12
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$151.36
Typical High
$295.12
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$239.88
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$154.88
Typical High
$295.12

Where Washington, DC sits

The same service costs 3.1 times more in Alaska than in Kentucky. 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.

Washington, DC· 29th of 51

$123

AK $309KY $100

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.