go back

Biopsy of the Joint at the Base of a Toe

Georgia 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?

$3,904

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

Insurers have agreed to pay about $3,904 for this procedure. That total is two separate charges: $437 to the doctor who performs it, and $3,467 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$437$316 to $562
Facility feeThe hospital or surgery center$3,467$1,549 to $5,370

How much rates vary

Facilitymedian $3,467 · 10th to 90th $661 to $7,244Professionalmedian $437 · 10th to 90th $263 to $741
$200$500$1K$2K$5K$10Kfacility $3,467professional $437

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
$467.74
Median
$4,365.16
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$794.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,884.03
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$512.86
Typical High
$831.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,890.45
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$457.09
Typical High
$812.83

Where Georgia 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

Georgia· 18th of 50

$3,904

$437 physician + $3,467 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.