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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.

Rates data updated July 2026.

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

$6,389

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

Insurers have agreed to pay about $6,389 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $6,026 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$363$275 to $457
Facility feeThe hospital or surgery center$6,026$1,950 to $10,471

How much rates vary

Facilitymedian $6,026 · 10th to 90th $813 to $13,804Professionalmedian $363 · 10th to 90th $240 to $617
$200$500$1K$2K$5K$10K$20Kfacility $6,026professional $363

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
$741.31
Median
$4,073.80
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$616.60
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
$257.04
Median
$323.59
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$1,584.89
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$741.31
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$295.12
Typical High
$446.68
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$208.93
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$5,495.41
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$380.19
Typical High
$758.58
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$295.12
Typical High
$389.05

Where Florida 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

Florida· 5th of 50

$6,389

$363 physician + $6,026 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.