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Biopsy of the Joint at the Base of a Toe

Indiana 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?

$9,696

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

Insurers have agreed to pay about $9,696 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $9,333 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$363$263 to $437
Facility feeThe hospital or surgery center$9,333$4,898 to $15,136

How much rates vary

Facilitymedian $9,333 · 10th to 90th $1,096 to $17,783Professionalmedian $363 · 10th to 90th $240 to $589
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $9,333professional $363

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
$398.11
Median
$4,897.79
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$11,220.18
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$575.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$263.03
Typical High
$295.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$676.08

Where Indiana sits

The same service costs 13.7 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeIndiana $9,696 · 1st of 50
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.