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Biopsy Of A Knuckle Joint Through An Incision

Connecticut rates for HCPCS 26105

This procedure opens a knuckle joint — the joint where a finger meets the hand, not one of the joints farther out between the finger bones — through a small incision so a tissue sample can be taken directly from inside the joint. It is used to investigate unexplained joint swelling, pain, or a suspected growth when imaging or fluid sampling alone has not given a clear answer. The joint is then closed and typically splinted briefly afterward.

Rates data updated July 2026.

How much does Biopsy Of A Knuckle Joint Through An Incision cost?

$5,502

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

Insurers have agreed to pay about $5,502 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $5,012 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$490$331 to $741
Facility feeThe hospital or surgery center$5,012$4,266 to $7,943

How much rates vary

Facilitymedian $5,012 · 10th to 90th $3,388 to $11,749Professionalmedian $490 · 10th to 90th $302 to $1,096
$500$1K$2K$5K$10Kfacility $5,012professional $490

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
$3,388.44
Median
$4,786.30
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$1,148.15
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$11,748.98
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$676.08
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$588.84
Typical High
$912.01
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$6,025.60
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$933.25

Where Connecticut sits

The same service costs 13.8 times more in Indiana 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

Connecticut· 7th of 50

$5,502

$490 physician + $5,012 facility

IN $9,687MD $702

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.