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Toe Joint Dislocation Set Under Anesthesia

North Carolina rates for HCPCS 28635

Treatment of a dislocation where a toe meets the ball of the foot, put back in place through the skin with no incision made. Anesthesia or sedation is given so the muscles relax and the joint can be guided back into position. The toe is then supported while the stretched ligaments heal.

Rates data updated July 2026.

How much does Toe Joint Dislocation Set Under Anesthesia cost?

$458

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $458 for this procedure. That total is two separate charges: $195 to the doctor who performs it, and $263 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$195$166 to $302
Facility feeThe hospital or surgery center$263$174 to $933

How much rates vary

Facilitymedian $263 · 10th to 90th $138 to $5,495Professionalmedian $195 · 10th to 90th $129 to $427
$200$500$1K$2K$5Kfacility $263professional $195

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
$128.82
Median
$602.56
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$416.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,202.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$234.42
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$398.11
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$218.78
Typical High
$363.08
Medcost
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$416.87
Medcost
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$194.98
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$3,467.37
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$309.03
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$19,498.45
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,445.44

Where North Carolina sits

The same service costs 21.5 times more in Indiana than in Maryland. 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.

Physician feeFacility fee

North Carolina· 47th of 50

$458

$195 physician + $263 facility

IN $6,332MD $294

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.