go back

Fusion of the Joint Below the Ankle

Montana rates for HCPCS 28725

Fuses the joint between the heel bone and the talus, just below the ankle, so the two bones knit into one. The worn cartilage is cleared away, the bones are held together with screws, and bone graft may be used to encourage them to unite. Once healed, that joint no longer moves — which removes pain from it but reduces side-to-side flexibility of the foot on uneven ground.

Rates data updated October 2026.

How much does Fusion of the Joint Below the Ankle cost?

$2,489

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

Insurers have agreed to pay about $2,489 for this procedure. That total is two separate charges: $1,230 to the doctor who performs it, and $1,259 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$1,230$933 to $1,230
Facility feeThe hospital or surgery center$1,259$1,230 to $1,514

How much rates vary

Facilitymedian $1,259 · 10th to 90th $1,096 to $9,120Professionalmedian $1,230 · 10th to 90th $692 to $1,318
$100$500$2K$10Kfacility $1,259professional $1,230

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$794.33
Typical High
$1,258.93
BCBS
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
BCBS
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$15,135.61
Typical High
$30,902.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,230.27
Typical High
$1,445.44
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,230.27
Typical High
$1,318.26
Providence
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$15,135.61
Typical High
$30,902.95
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,122.02
Typical High
$1,230.27
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,318.26
Typical High
$1,479.11

Where Montana sits

The same service costs 9.3 times more in Alaska 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

Montana· 51st of 51

$2,489

$1,230 physician + $1,259 facility

AK $23,115MT $2,489

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.