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Biopsy Of A Knuckle Joint Through An Incision

West Virginia 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?

$703

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $703 for this procedure. That total is two separate charges: $372 to the doctor who performs it, and $331 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$372$331 to $380
Facility feeThe hospital or surgery center$331$331 to $1,230

How much rates vary

Facilitymedian $331 · 10th to 90th $331 to $1,413Professionalmedian $372 · 10th to 90th $309 to $479
$500$1K$2K$5K$10Kfacility $331professional $372

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
$331.13
Median
$331.13
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$371.54
Typical High
$380.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$436.52
CareSource
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,819.70
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$537.03

Where West Virginia 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

West Virginia· 49th of 50

$703

$372 physician + $331 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.