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Non-Surgical Treatment of a Broken Sesamoid Bone

North Carolina 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?

$151

Typical physician fee. In North Carolina, July 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $110 to $204.

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 $151 · 10th to 90th $95 to $316
$100$200$500$1Kprofessional $151

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
$123.03
Typical High
$239.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$154.88
Typical High
$257.04
Medcost
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$263.03
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$114.82
Typical High
$223.87
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,023.29

Where North Carolina 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.

North Carolina· 14th of 51

$151

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.