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Non-Surgical Treatment of a Broken Sesamoid Bone

Pennsylvania 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?

$115

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $115 for this service. Most negotiated rates run $100 to $132.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $115 · 10th to 90th $91 to $195
$10.0$100.0$1.0Kprofessional $115

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
$89.13
Median
$109.65
Typical High
$177.83
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$131.83
Typical High
$218.78
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$204.17
Typical High
$257.04
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$144.54
Typical High
$223.87
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$144.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$114.82
Typical High
$269.15
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$154.88
Typical High
$165.96
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$213.80

Where Pennsylvania sits

The same service costs 3.1 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $115 · 42nd of 51
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.