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Biopsy of the Joint at the Base of a Toe

Washington, DC 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 $4,074 · 10th–90th $407$7,7620%20%10th90th$4,074Professionalmedian $380 · 10th–90th $245$8320%10%10th90th$380$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$263.03
Median
$4,073.80
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$724.44
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$1,778.28
Typical High
$6,456.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$933.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$25,118.86
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$467.74
Typical High
$954.99