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Pin Fixation Of A Dislocated Toe-Base Joint

Pennsylvania 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 July 2026.

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

$4,548

Typical total for the visit. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,548 for this procedure. That total is two separate charges: $282 to the doctor who performs it, and $4,266 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 10 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$282$204 to $331
Facility feeThe hospital or surgery center$4,266$1,905 to $6,761

How much rates vary

Facilitymedian $4,266 · 10th to 90th $661 to $8,318Professionalmedian $282 · 10th to 90th $182 to $490
$200$500$1K$2K$5K$10Kfacility $4,266professional $282

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
$660.69
Median
$4,265.80
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$281.84
Typical High
$416.87
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$316.23
Typical High
$562.34
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$630.96
Typical High
$794.33
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$380.19
Typical High
$630.96
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$229.09
Typical High
$229.09
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$3,981.07
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$288.40
Typical High
$1,047.13
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$389.05
Typical High
$416.87
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$1,778.28
Typical High
$3,388.44
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$295.12
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,890.45
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$309.03
Typical High
$537.03

Where Pennsylvania sits

The same service costs 18.9 times more in Indiana than in West Virginia. 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

Pennsylvania· 15th of 50

$4,548

$282 physician + $4,266 facility

IN $10,521WV $558

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.