How much does Medicare pay for CPT 28308?

Medicare allowed an average of $512.83 per service and paid $407.72 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3851.28, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 28308?

Incision or partial removal of foot bone (other than big toe) to straighten toe. It was billed 6,205 times to 4,184 Medicare beneficiaries by 259 providers in 2024.

Does 28308 pay differently in an office than a hospital?

Yes. The allowed amount averaged $344.11 in an office setting and $515.98 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 28308 most?

Ambulatory Surgical Center, with 2,546 services from 105 clinicians. Next are Orthopedic Surgery, Podiatry, Physician Assistant.

CPT 28308

Incision or partial removal of foot bone (other than big toe) to straighten toe

$512.83Medicare-allowed amount per service, averaged across 6,205 services

Providers submitted

$3851.28

Asking price, not received

Medicare allowed

$512.83

The fee schedule figure

Medicare paid

$407.72

Balance is patient coinsurance

Providers submitted an average of $3851.28 for this code and Medicare allowed $512.83 — 7.5× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $407.72 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $344.11
Hospital / facility: $515.98

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 114 services were billed in an office setting and 6,091 in a facility.

Services: 6,205
Beneficiaries: 4,184
Providers billing it: 259
Total allowed: $3,182,110

What Medicare pays for CPT 28308

Across 6,205 services billed by 259 providers to 4,184 beneficiaries, Medicare allowed an average of $512.83 per service. That is 1.5 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 28308

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ambulatory Surgical Center	2,546	1,752	$952.00	105
Orthopedic Surgery	1,928	1,264	$228.99	79
Podiatry	1,276	843	$235.92	51
Physician Assistant	374	260	$34.57	19
Nurse Practitioner	81	65	$34.84	5

28308 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	621	$639.34	$439.65	22
Florida	580	$332.95	$271.37	27
Tennessee	408	$519.59	$451.52	13
Virginia	400	$477.01	$384.84	17
Texas	342	$497.43	$408.20	19
Wisconsin	271	$470.33	$381.47	4
Idaho	231	$520.65	$451.17	7
Arizona	213	$581.91	$465.01	10
North Carolina	203	$555.85	$459.34	8
Massachusetts	202	$592.58	$438.52	7
South Carolina	190	$440.74	$378.16	7
New York	172	$386.77	$344.69	7
Mississippi	154	$436.23	$397.92	7
Ohio	153	$570.41	$521.05	7
Illinois	144	$687.05	$544.14	8
Delaware	142	$689.59	$553.55	5
Georgia	114	$427.15	$355.07	7
Arkansas	109	$536.02	$469.48	4
Kansas	108	$630.07	$522.91	6
Colorado	107	$503.85	$402.15	4
Washington	102	$520.65	$401.73	4
Pennsylvania	101	$605.11	$496.47	5
Missouri	99	$503.37	$427.65	4
Maryland	96	$486.75	$384.23	4
Indiana	95	$934.79	$759.55	6
Iowa	94	$920.05	$783.38	5
New Jersey	82	$264.96	$188.93	3
Alabama	82	$538.94	$487.36	2
Nebraska	81	$341.36	$273.99	5
Minnesota	68	$490.79	$370.66	3
Oklahoma	65	$231.90	$199.43	2
Louisiana	65	$765.87	$673.84	3
Utah	56	$124.53	$102.55	2
Wyoming	49	$359.24	$299.94	3
Kentucky	48	$142.52	$120.59	2
Rhode Island	29	$535.35	$409.13	2
Connecticut	24	$33.14	$22.55	1
New Hampshire	20	$227.68	$152.96	1
New Mexico	17	$278.59	$211.75	1
Nevada	17	$851.20	$700.42	1
Michigan	13	$1222.45	$947.26	1
Oregon	13	$263.50	$226.99	1
Montana	13	$221.12	$176.40	1
Maine	12	$1050.07	$838.21	1

Related codes

28313Reconstruction of soft tissue angular deformity of toe$363.15

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.