go back

Non-Surgical Treatment of a Broken Sesamoid Bone

Vermont 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 October 2026.

How much does Non-Surgical Treatment of a Broken Sesamoid Bone cost?

$170

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $138 to $219.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $186 · 10th to 90th $50 to $501Professionalmedian $170 · 10th to 90th $126 to $229
$100$200$500facility $186professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$134.90
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$186.21
Cigna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$223.87
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$162.18
Typical High
$199.53
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$165.96
Typical High
$245.47

Where Vermont sits

The same service costs 4.5 times more in Alaska than in Florida. 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.

Vermont· 13th of 51

$170

AK $427FL $95.50

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.