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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.

Facilitymedian $1,549 · 10th–90th $380$7,2440%5%10%10th90th$1,549Professionalmedian $513 · 10th–90th $263$7940%10%10th90th$513$50.0$200.0$1.0K$5.0K

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
$1,621.81
Median
$4,466.84
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$457.09
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
$501.19
Typical High
$933.25
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
$10,232.93
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$870.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$4,168.69
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
$812.83