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Non-Surgical Treatment of a Broken Sesamoid Bone

Virginia 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?

$126

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $107 to $158.

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 $126 · 10th to 90th $98 to $257
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kprofessional $126

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
$97.72
Median
$117.49
Typical High
$194.98
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$257.04
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$141.25
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$138.04
Typical High
$257.04
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$154.88
Typical High
$181.97
Medcost
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$162.18
Typical High
$263.03
Medcost
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Sentara
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$144.54
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$128.82
Typical High
$218.78

Where Virginia 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.

Virginia $126 · 26th 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.