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Big Toe Joint Fusion Surgery

Vermont 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?

$832

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $832 for this service. Most negotiated rates run $692 to $1,000.

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.

How much rates vary

Facilitymedian $5,754 · 10th to 90th $5,754 to $7,244Professionalmedian $832 · 10th to 90th $589 to $1,175
$1K$2K$5Kfacility $5,754professional $832

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$741.31
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$7,244.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,174.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,000.00
Typical High
$1,412.54
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,096.48
Typical High
$1,288.25
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,949.84

Where Vermont sits

The same service costs 3.0 times more in Hawaii than in Delaware. 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.

Vermont· 44th of 51

$832

HI $2,188DE $741

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.