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Biopsy Of A Knuckle Joint Through An Incision

Ohio 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?

$3,445

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

Insurers have agreed to pay about $3,445 for this procedure. That total is two separate charges: $355 to the doctor who performs it, and $3,090 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$355$316 to $479
Facility feeThe hospital or surgery center$3,090$1,698 to $6,607

How much rates vary

Facilitymedian $3,090 · 10th to 90th $708 to $10,965Professionalmedian $355 · 10th to 90th $282 to $1,096
$50$200$1K$5Kfacility $3,090professional $355

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
$630.96
Median
$3,162.28
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$346.74
Typical High
$3,467.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,311.31
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$575.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$537.03
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$676.08
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$676.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,570.40
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$602.56

Where Ohio 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

Ohio· 20th of 50

$3,445

$355 physician + $3,090 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.