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Biopsy of the Joint at the Base of a Toe

Idaho 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?

$1,468

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

Insurers have agreed to pay about $1,468 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $955 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$398 to $661
Facility feeThe hospital or surgery center$955$468 to $5,012

How much rates vary

Facilitymedian $955 · 10th to 90th $355 to $7,244Professionalmedian $513 · 10th to 90th $263 to $794
$500$1K$2K$5K$10Kfacility $955professional $513

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
$1,621.81
Median
$4,466.84
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$794.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$3,630.78
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$758.58
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$489.78
Typical High
$891.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,244.36
Typical High
$10,715.19
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$933.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$3,019.95
Typical High
$5,128.61
Select Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$6,760.83
Typical High
$12,302.69
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$489.78
Typical High
$794.33

Where Idaho 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

Idaho· 41st of 50

$1,468

$513 physician + $955 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.