go back

Biopsy of the Joint at the Base of a Toe

Delaware 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?

$4,445

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

Insurers have agreed to pay about $4,445 for this procedure. That total is two separate charges: $372 to the doctor who performs it, and $4,074 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 3 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$372$251 to $407
Facility feeThe hospital or surgery center$4,074$1,479 to $7,244

How much rates vary

Facilitymedian $4,074 · 10th to 90th $263 to $7,244Professionalmedian $372 · 10th to 90th $245 to $692
$500$1K$2K$5Kfacility $4,074professional $372

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$1,000.00
Typical High
$1,479.11
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$616.60

Where Delaware 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

Delaware· 13th of 50

$4,445

$372 physician + $4,074 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.