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Biopsy Of A Knuckle Joint Through An Incision

Pennsylvania 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?

$3,038

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

Insurers have agreed to pay about $3,038 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $2,692 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$347$324 to $437
Facility feeThe hospital or surgery center$2,692$1,413 to $5,370

How much rates vary

Facilitymedian $2,692 · 10th to 90th $661 to $8,318Professionalmedian $347 · 10th to 90th $309 to $589
$500$1K$2K$5K$10Kfacility $2,692professional $347

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
$660.69
Median
$2,691.53
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$346.74
Typical High
$512.86
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$691.83
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$707.95
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$691.83
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,570.40
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$363.08
Typical High
$1,584.89
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$602.56
Typical High
$645.65
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,258.93
Typical High
$2,187.76
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,951.21
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$676.08

Where Pennsylvania 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

Pennsylvania· 25th of 50

$3,038

$347 physician + $2,692 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.