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Non-Surgical Treatment Of A Dislocated Midfoot Joint

Utah rates for HCPCS 28540

This treats a dislocation of a joint in the midfoot without an open surgical incision, repositioning the joint and then holding the foot still with a cast, splint, or boot while it heals. It is used when the dislocated joint can be treated this way rather than requiring open surgery. Follow-up x-rays are typically used to confirm the joint is healing in good position.

Rates data updated July 2026.

How much does Non-Surgical Treatment Of A Dislocated Midfoot Joint cost?

$275

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $275 for this service. The price depends on where it is billed: about $275 from a physician practice, and about $3,020 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$275$186 to $363
FacilityA hospital or hospital-owned outpatient department$3,020$389 to $3,981

How much rates vary

Facilitymedian $3,020 · 10th to 90th $251 to $4,571Professionalmedian $275 · 10th to 90th $166 to $1,023
$100$200$500$1K$2K$5Kfacility $3,020professional $275

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
Facility
Modifier
Global
Typical Low
$251.19
Median
$3,019.95
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$275.42
Typical High
$1,148.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$251.19
Typical High
$323.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$389.05
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$724.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$295.12
Typical High
$426.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Select Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$316.23
Typical High
$389.05
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$371.54
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$199.53
Typical High
$309.03

Where Utah sits

The same service costs 4.2 times more in California than in Kentucky. 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.

Utah· 13th of 51

$275

CA $759KY $182

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.