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Biopsy of the Joint at the Base of a Toe

Illinois 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?

$2,155

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

Insurers have agreed to pay about $2,155 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $1,738 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$417$316 to $603
Facility feeThe hospital or surgery center$1,738$813 to $4,074

How much rates vary

Facilitymedian $1,738 · 10th to 90th $372 to $5,623Professionalmedian $417 · 10th to 90th $245 to $813
$200$500$1K$2K$5K$10Kfacility $1,738professional $417

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
$371.54
Median
$1,584.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$6,165.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$691.83
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$602.56
Typical High
$1,862.09
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$512.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$41.69
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,388.44
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$446.68
Typical High
$794.33

Where Illinois 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

Illinois· 35th of 50

$2,155

$417 physician + $1,738 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.