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Biopsy of the Joint at the Base of a Toe

Iowa 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 $3,090 · 10th–90th $417$7,5860%10%10th90th$3,090Professionalmedian $407 · 10th–90th $257$9330%10%10th90th$407$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$407.38
Median
$3,090.30
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$758.58
Typical High
$1,148.15
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$457.09
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$851.14
Typical High
$7,413.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$831.76
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$758.58
Typical High
$1,047.13
Midlands
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$831.76
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$6,309.57
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$512.86
Typical High
$1,023.29
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$588.84
Typical High
$870.96