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Biopsy Of A Knuckle Joint Through An Incision

New York 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?

$4,763

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $4,763 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $4,365 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$398$331 to $617
Facility feeThe hospital or surgery center$4,365$2,630 to $7,413

How much rates vary

Facilitymedian $4,365 · 10th to 90th $525 to $10,965Professionalmedian $398 · 10th to 90th $295 to $1,023
$500$1K$2K$5K$10Kfacility $4,365professional $398

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
$436.52
Median
$3,090.30
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$380.19
Typical High
$912.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$338.84
Typical High
$851.14
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$1,258.93
Typical High
$4,073.80
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$1,513.56
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$812.83
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$741.31
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,548.13
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$478.63
Typical High
$1,513.56
Univera
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$1,479.11
Univera
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$977.24

Where New York 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

New York· 9th of 50

$4,763

$398 physician + $4,365 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.