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Biopsy of the Joint at the Base of a Toe

Connecticut 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 $5,012 · 10th–90th $871$10,4710%10%20%10th90th$5,012Professionalmedian $398 · 10th–90th $245$9120%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
$870.96
Median
$4,897.79
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$11,748.98
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$812.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$562.34
Typical High
$933.25
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$616.60
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$7,244.36
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$512.86
Typical High
$1,023.29