go back

Open Repair Of A Dislocated Toe Base Joint

Virginia rates for HCPCS 28645

A joint where a toe meets one of the long bones of the forefoot has come out of place, and the surgeon opens the area to put it back into position. Hardware such as a pin, wire, or screw may be placed to hold the joint while it heals. The open approach is used when the joint cannot be put back adequately without an incision.

Rates data updated July 2026.

How much does Open Repair Of A Dislocated Toe Base Joint cost?

$1,699

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

Insurers have agreed to pay about $1,699 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $1,023 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$676$537 to $851
Facility feeThe hospital or surgery center$1,023$646 to $5,370

How much rates vary

Facilitymedian $1,023 · 10th to 90th $501 to $8,710Professionalmedian $676 · 10th to 90th $468 to $1,230
$500$1K$2K$5K$10Kfacility $1,023professional $676

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
$549.54
Median
$3,548.13
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$660.69
Typical High
$1,202.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,202.26
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$630.96
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$676.08
Typical High
$1,288.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$977.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$691.83
Typical High
$1,513.56
Medcost
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$1,071.52
Medcost
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Sentara
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$602.56
Typical High
$7,413.10
Sentara
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$812.83
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,309.57
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$1,148.15

Where Virginia sits

The same service costs 8.9 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

Virginia· 46th of 50

$1,699

$676 physician + $1,023 facility

IN $10,550WV $1,192

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.