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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.

Rates data updated July 2026.

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

$6,325

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

Insurers have agreed to pay about $6,325 for this procedure. That total is two separate charges: $437 to the doctor who performs it, and $5,888 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$437$331 to $692
Facility feeThe hospital or surgery center$5,888$4,571 to $7,943

How much rates vary

Facilitymedian $5,888 · 10th to 90th $3,890 to $11,749Professionalmedian $437 · 10th to 90th $257 to $1,202
$200$500$1K$2K$5K$10Kfacility $5,888professional $437

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
$3,090.30
Median
$5,248.07
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$1,202.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$11,748.98
Typical High
$13,803.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$562.34
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
$575.44
Typical High
$977.24
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$602.56
Typical High
$776.25
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

Where Connecticut 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

Connecticut· 6th of 50

$6,325

$437 physician + $5,888 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.