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Biopsy of the Joint at the Base of a Toe

Alabama rates for HCPCS 28052

This procedure opens the joint where a toe meets the long bone of the foot (the metatarsophalangeal joint) through a small incision to obtain a tissue sample from inside it. It is used to investigate unexplained swelling, pain, or a suspected growth in that joint when other tests have not given a clear diagnosis. The joint is closed and the foot is typically protected in a stiff-soled shoe or splint afterward.

Rates data updated July 2026.

How much does Biopsy of the Joint at the Base of a Toe cost?

$3,282

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

Insurers have agreed to pay about $3,282 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $2,884 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$398$288 to $562
Facility feeThe hospital or surgery center$2,884$1,259 to $3,631

How much rates vary

Facilitymedian $2,884 · 10th to 90th $776 to $4,365Professionalmedian $398 · 10th to 90th $240 to $617
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,884professional $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
$758.58
Median
$1,122.02
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$426.58
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$3,548.13
Typical High
$4,786.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$426.58
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$2,884.03
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$645.65

Where Alabama sits

The same service costs 13.7 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeAlabama $3,282 · 24th of 50
IN $9,696WV $710

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.