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Biopsy of the Joint at the Base of a Toe

Florida 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 $4,571 · 10th–90th $813$12,3030%10%10th90th$4,571Professionalmedian $372 · 10th–90th $240$6460%20%10th90th$372$50.0$200.0$1.0K$5.0K$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
$741.31
Median
$3,715.35
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$645.65
AvMed
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$3,388.44
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$316.23
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,584.89
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$707.95
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$13,489.63
Typical High
$23,988.33
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$302.00
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$208.93
Typical High
$524.81
United
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$5,623.41
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$707.95
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$389.05