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Biopsy of the Joint at the Base of a Toe

Hawaii 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?

$1,862

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $1,862 for this service. Most negotiated rates run $417 to $4,266.

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 $3,890 · 10th to 90th $1,148 to $3,890Professionalmedian $1,820 · 10th to 90th $302 to $5,370
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,890professional $1,820

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
$1,148.15
Median
$3,890.45
Typical High
$3,890.45
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$302.00
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$602.56
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$602.56
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$2,041.74
Typical High
$5,370.32

Where Hawaii sits

The same service costs 5.4 times more in Hawaii than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $1,862 · 1st of 51
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.