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Pin Fixation Of A Dislocated Toe-Base Joint

Hawaii rates for HCPCS 28636

Treatment of a dislocated joint at the base of a toe, where a long bone of the foot meets the toe bones, by realigning it and then holding the bones in place with pins or wires inserted through the skin, without fully opening the area surgically. It is used when the dislocation is unstable enough that it will not stay in place with realignment alone. The pins are typically removed once the joint has stabilized.

Rates data updated October 2026.

How much does Pin Fixation Of A Dislocated Toe-Base Joint cost?

$1,784

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $1,784 for this procedure. That total is two separate charges: $339 to the doctor who performs it, and $1,445 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$339$182 to $468
Facility feeThe hospital or surgery center$1,445$1,259 to $2,570

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,122 to $4,467Professionalmedian $339 · 10th to 90th $30 to $468
$50$100$200$500$1K$2K$5Kfacility $1,445professional $339

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
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,818.38
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$239.88
Typical High
$416.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$436.52
Typical High
$588.84
United
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$2,511.89
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$467.74
Typical High
$467.74
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$245.47
Typical High
$446.68

Where Hawaii sits

The same service costs 10.2 times more in Alabama than in Montana. 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

Hawaii· 44th of 51

$1,784

$339 physician + $1,445 facility

AL $8,109MT $791

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.