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Biopsy of the Joint at the Base of a Toe

Arizona 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.

Facilitymedian $2,884 · 10th–90th $525$6,7610%5%10%10th90th$2,884Professionalmedian $398 · 10th–90th $245$8320%10%10th90th$398$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,715.35
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$831.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$2,454.71
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$724.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$3,630.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,884.03
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$630.96