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Biopsy Of A Knuckle Joint Through An Incision

Vermont 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?

$398

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $398 for this service. Most negotiated rates run $398 to $407.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $398 · 10th to 90th $398 to $575
$200$500$1Kprofessional $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
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$467.74
Typical High
$676.08
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$575.44
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$851.14

Where Vermont sits

The same service costs 8.1 times more in California than in New Mexico. 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.

Vermont· 44th of 51

$398

CA $2,818NM $347

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.