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Biopsy of the Joint at the Base of a Toe

Colorado 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?

$5,759

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

Insurers have agreed to pay about $5,759 for this procedure. That total is two separate charges: $389 to the doctor who performs it, and $5,370 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$389$288 to $468
Facility feeThe hospital or surgery center$5,370$851 to $9,550

How much rates vary

Facilitymedian $5,370 · 10th to 90th $389 to $12,882Professionalmedian $389 · 10th to 90th $257 to $813
$500$1K$2K$5K$10K$20Kfacility $5,370professional $389

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
$389.05
Median
$3,311.31
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$602.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$467.74
Typical High
$812.83
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$707.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$1,659.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$501.19
Typical High
$831.76
Select Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$323.59
Typical High
$436.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$851.14

Where Colorado sits

The same service costs 13.7 times more in Indiana than in West Virginia. 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

Colorado· 7th of 50

$5,759

$389 physician + $5,370 facility

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.