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Big Toe Joint Fusion Surgery

Pennsylvania rates for HCPCS 28750

A surgeon permanently joins the bones of the big toe's main joint together, eliminating motion at that joint to relieve pain, most often caused by severe arthritis or a bunion deformity. The bones are aligned and fixed in place, typically with screws or a plate, so they heal into a single solid piece. This provides lasting pain relief at the cost of losing the joint's normal bending motion.

Rates data updated July 2026.

How much does Big Toe Joint Fusion Surgery cost?

$6,784

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

Insurers have agreed to pay about $6,784 for this procedure. That total is two separate charges: $759 to the doctor who performs it, and $6,026 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 12 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$759$603 to $1,000
Facility feeThe hospital or surgery center$6,026$2,818 to $11,220

How much rates vary

Facilitymedian $6,026 · 10th to 90th $813 to $19,055Professionalmedian $759 · 10th to 90th $537 to $1,479
$500$1K$2K$5K$10K$20Kfacility $6,026professional $759

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
$812.83
Median
$6,025.60
Typical High
$19,054.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$1,445.44
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,570.88
Typical High
$18,197.01
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,479.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$831.76
Typical High
$1,380.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,698.24
Typical High
$2,137.96
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,023.29
Typical High
$1,737.80
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$19,498.45
Typical High
$37,153.52
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$588.84
Typical High
$741.31
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$18,620.87
Typical High
$23,442.29
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$5,754.40
Typical High
$19,498.45
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$776.25
Typical High
$1,513.56
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$933.25
Typical High
$977.24
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$2,398.83
Typical High
$4,365.16
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$6,165.95
Typical High
$21,379.62
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$1,445.44

Where Pennsylvania sits

The same service costs 7.3 times more in Wisconsin 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

Pennsylvania· 18th of 51

$6,784

$759 physician + $6,026 facility

WI $13,908MD $1,898

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.