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Non-Surgical Treatment of a Broken Sesamoid Bone

Washington 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.

Professionalmedian $166 · 10th–90th $105$3020%20%10th90th$166$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$151.36
Typical High
$316.23
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$186.21
Typical High
$338.84
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$165.96
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$72.44
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$199.53
Typical High
$309.03
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$213.80
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$302.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$223.87