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Non-Surgical Treatment of a Broken Sesamoid Bone

Iowa 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?

$162

Typical physician fee. In Iowa, July 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $110 to $229.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $162 · 10th to 90th $100 to $324
$100$200$500$1Kprofessional $162

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
$95.50
Median
$120.23
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$257.04
Typical High
$363.08
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$154.88
Typical High
$316.23
Medica
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$239.88
Typical High
$794.33
Midlands
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$269.15
Typical High
$323.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$229.09
Typical High
$323.59
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$186.21
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$154.88
Typical High
$302.00
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$223.87
Typical High
$269.15

Where Iowa 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.

Iowa· 11th of 51

$162

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.