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Non-Surgical Treatment of a Broken Sesamoid Bone

Maine 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?

$129

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $129 for this service. Most negotiated rates run $112 to $166.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $129 · 10th to 90th $98 to $240
$100$200professional $129

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
$112.20
Typical High
$134.90
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$158.49
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$162.18
Typical High
$269.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$323.59
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$251.19

Where Maine 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.

Maine· 22nd of 51

$129

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.