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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.

Facilitymedian $2,042 · 10th–90th $537$5,8880%5%10th90th$2,042Professionalmedian $407 · 10th–90th $245$7760%10%10th90th$407$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
$512.86
Median
$1,862.09
Typical High
$5,888.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$389.05
Typical High
$758.58
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
$295.12
Median
$436.52
Typical High
$758.58
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
$281.84
Median
$446.68
Typical High
$724.44
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
$33.11
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,467.37
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$758.58