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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.

Rates data updated July 2026.

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

$407

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $263 to $794.

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.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $263 to $7,762Professionalmedian $407 · 10th to 90th $251 to $676
$500$1K$2K$5K$10K$20Kfacility $4,074professional $407

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
$263.03
Median
$4,073.80
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$676.08
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
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$537.03
Typical High
$954.99

Where Washington, DC sits

The same service costs 5.4 times more in Hawaii 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.

Washington, DC· 39th of 51

$407

HI $1,862WV $347

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.