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Nationwide rates for HCPCS 28531

Open treatment of sesamoid fracture, with or without internal fixation

Facilitymedian $4,467 · 10th–90th $355–$13,4900%5%10%10th90th$4,467Professionalmedian $316 · 10th–90th $174–$6920%10%20%10th90th$316$2.0$20.0$200.0$2.0K$20.0K$200.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $3,981.07 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $302.00 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $6,918.31 / $20,892.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $295.12 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $1,096.48 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $380.19 / $794.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $4,786.30 / $11,748.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $323.59 / $645.65

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