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Non-Surgical Treatment of a Broken Sesamoid Bone

Massachusetts 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 Massachusetts, July 2026.

Insurers have agreed to pay about $162 for this service. Most negotiated rates run $120 to $257.

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$500professional $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
$309.03
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$436.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$229.09
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$177.83
Typical High
$331.13
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$218.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$323.59
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$165.96
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$190.55
Typical High
$346.74

Where Massachusetts 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.

Massachusetts· 12th 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.